05D2159713 CLIA NUMBER - THE 7C'S HOSPICE

Laboratory Demographics

CLIA Number: 05D2159713

Facility Name: THE 7C'S HOSPICE

Facility Address:
190 SIERRA COURT, B-109
PALMDALE, CA
ZIP 93550
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Facility Phone Number: 213 973-0019

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1659805778

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2159713
LAB Type	Hospice
Facility Name	THE 7C'S HOSPICE
Street	190 SIERRA COURT, B-109
City	PALMDALE
State	CA
ZIP	93550
Phone	213 973-0019
CertificateType	4
CertificateEffectiveDate	12/24/2022
CertificateExpirationDate	12/23/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024