05D2173609 CLIA NUMBER - ALL STAR HOSPICE INC DBA NIGHTINGALE'S HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2173609
  • Facility Name: ALL STAR HOSPICE INC DBA NIGHTINGALE'S HOSPICE
  • Facility Address: 41960 IVY STREET SUITE C5
    MURRIETA, CA
    ZIP 92562
  • Facility Phone: 951 200-6695
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ALEX DAVILA
  • NPI Number: 1265807820
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2173609
LAB Type Hospice
Facility Name ALL STAR HOSPICE INC DBA NIGHTINGALE'S HOSPICE
Street 41960 IVY STREET SUITE C5
City MURRIETA
State CA
ZIP 92562
Phone 951 200-6695
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2025
Certificate Expiration Date 10/15/2027
Facility Type Hospice
Lab Director ALEX DAVILA

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