05D2181565 CLIA NUMBER - ALLIANCE HOSPICE SERVICES

Laboratory Demographics

  • CLIA Code: 05D2181565
  • Facility Name: ALLIANCE HOSPICE SERVICES
  • Facility Address: 1421 E COOLEY DRIVE, SUITE 5
    COLTON, CA
    ZIP 92324
  • Facility Phone: 909 990-1060
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ATONIS PAX
  • NPI Number: 1609350230
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2181565
LAB Type Hospice
Facility Name ALLIANCE HOSPICE SERVICES
Street 1421 E COOLEY DRIVE, SUITE 5
City COLTON
State CA
ZIP 92324
Phone 909 990-1060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Hospice
Lab Director ATONIS PAX

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This page was last updated on: 6/4/2025