05D2167956 CLIA NUMBER - DIGNITY HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2167956
  • Facility Name: DIGNITY HOSPICE
  • Facility Address: 215 S LAUREL AVE
    ONTARIO, CA
    ZIP 91762
  • Facility Phone: 909 999-7919
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MYRA L. AGUIRRE CARLOS
  • NPI Number: 1821570060
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2167956
LAB Type Hospice
Facility Name DIGNITY HOSPICE
Street 215 S LAUREL AVE
City ONTARIO
State CA
ZIP 91762
Phone 909 999-7919
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Hospice
Lab Director MYRA L. AGUIRRE CARLOS

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