05D2166018 CLIA NUMBER - OCEAN VIEW HOSPICE, INC

Laboratory Demographics

CLIA Number: 05D2166018

Facility Name: OCEAN VIEW HOSPICE, INC

Facility Address:
12362 BEACH BLVD, STE 22
STANTON, CA
ZIP 90680
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Facility Phone Number: 714 603-7303

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1134671118

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2166018
LAB Type	Hospice
Facility Name	OCEAN VIEW HOSPICE, INC
Street	12362 BEACH BLVD, STE 22
City	STANTON
State	CA
ZIP	90680
Phone	714 603-7303
CertificateType	4
CertificateEffectiveDate	5/9/2023
CertificateExpirationDate	5/8/2025
FacilityType	Waiver

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