05D2128369 CLIA NUMBER - AVEEVA HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2128369
  • Facility Name: AVEEVA HOSPICE
  • Facility Address: 11860 MAGNOLIA AVE STE I
    RIVERSIDE, CA
    ZIP 92503
  • Facility Phone: 951 394-7500
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ANDRO N. SHAROBIEM, MD
  • NPI Number: 1124575618
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2128369
LAB Type Hospice
Facility Name AVEEVA HOSPICE
Street 11860 MAGNOLIA AVE STE I
City RIVERSIDE
State CA
ZIP 92503
Phone 951 394-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Hospice
Lab Director ANDRO N. SHAROBIEM, MD

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This page was last updated on: 9/29/2025