05D2180003 CLIA NUMBER - PARTNERS HOSPICE QUALITY CARE, LLC

Laboratory Demographics

  • CLIA Code: 05D2180003
  • Facility Name: PARTNERS HOSPICE QUALITY CARE, LLC
  • Facility Address: 317 WEST LA HABRA BLVD SUITE 200
    LA HABRA, CA
    ZIP 90631
  • Facility Phone: 652 245-7580
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: WYZSCX M. PATACXIL
  • NPI Number: 1568925006
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2180003
LAB Type Hospice
Facility Name PARTNERS HOSPICE QUALITY CARE, LLC
Street 317 WEST LA HABRA BLVD SUITE 200
City LA HABRA
State CA
ZIP 90631
Phone 652 245-7580
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Hospice
Lab Director WYZSCX M. PATACXIL

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