05D2165535 CLIA NUMBER - APOLLO QUEST DBA SHANGRILA HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2165535
  • Facility Name: APOLLO QUEST DBA SHANGRILA HOSPICE
  • Facility Address: 401 N BROOKHURST ST STE 114
    ANAHEIM, CA
    ZIP 92801
  • Facility Phone: 714 603-7209
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ANDREAS SUBADYA
  • NPI Number: 1922515246
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2165535
LAB Type Hospice
Facility Name APOLLO QUEST DBA SHANGRILA HOSPICE
Street 401 N BROOKHURST ST STE 114
City ANAHEIM
State CA
ZIP 92801
Phone 714 603-7209
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/7/2025
Certificate Expiration Date 8/6/2027
Facility Type Hospice
Lab Director ANDREAS SUBADYA

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