05D2167312 CLIA NUMBER - MONARCA HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2167312
  • Facility Name: MONARCA HOSPICE
  • Facility Address: 545 NORTH MOUNTAIN AVE, STE #108
    UPLAND, CA
    ZIP 91786
  • Facility Phone: 909 608-7093
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: REYNALDO B. CASTILLO
  • NPI Number: 1699214742
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2167312
LAB Type Hospice
Facility Name MONARCA HOSPICE
Street 545 NORTH MOUNTAIN AVE, STE #108
City UPLAND
State CA
ZIP 91786
Phone 909 608-7093
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/5/2025
Certificate Expiration Date 6/4/2027
Facility Type Hospice
Lab Director REYNALDO B. CASTILLO

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