05D2131375 CLIA NUMBER - VISION VIEJO HOSPICE SERICES

Laboratory Demographics

  • CLIA Code: 05D2131375
  • Facility Name: VISION VIEJO HOSPICE SERICES
  • Facility Address: 27281 LAS RAMBLAS STE 200
    MISSION VIEJO, CA
    ZIP 92691
  • Facility Phone: 949 328-3227
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MARTINA SHEFTIC, MD
  • NPI Number: 1922478791
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2131375
LAB Type Hospice
Facility Name VISION VIEJO HOSPICE SERICES
Street 27281 LAS RAMBLAS STE 200
City MISSION VIEJO
State CA
ZIP 92691
Phone 949 328-3227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type Hospice
Lab Director MARTINA SHEFTIC, MD

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