05D2173649 CLIA NUMBER - ALORIA HEALTHCARE

Laboratory Demographics

CLIA Number: 05D2173649

Facility Name: ALORIA HEALTHCARE

Facility Address:
5050 PALO VERDE STREET SUITE 213
MONTCLAIR, CA
ZIP 91763
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Facility Phone Number: 909 398-0158

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1225581366

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2173649
LAB Type	Hospice
Facility Name	ALORIA HEALTHCARE
Street	5050 PALO VERDE STREET SUITE 213
City	MONTCLAIR
State	CA
ZIP	91763
Phone	909 398-0158
CertificateType	4
CertificateEffectiveDate	10/16/2023
CertificateExpirationDate	10/15/2025
FacilityType	Waiver

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