05D2147150 CLIA NUMBER - RDM FOREVER DBA ABOVE AND BEYOND HOSPICE CARE

Laboratory Demographics

  • CLIA Code: 05D2147150
  • Facility Name: RDM FOREVER DBA ABOVE AND BEYOND HOSPICE CARE
  • Facility Address: 4774 RIVERSIDE DR, SUITE F
    CHINO, CA
    ZIP 91710
  • Facility Phone: 800 503-2970
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ANIL D. MALL
  • NPI Number: 1396118568
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2147150
LAB Type Hospice
Facility Name RDM FOREVER DBA ABOVE AND BEYOND HOSPICE CARE
Street 4774 RIVERSIDE DR, SUITE F
City CHINO
State CA
ZIP 91710
Phone 800 503-2970
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2024
Certificate Expiration Date 4/12/2026
Facility Type Hospice
Lab Director ANIL D. MALL

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This page was last updated on: 6/4/2025