05D2185351 CLIA NUMBER - ARC ANGEL HOSPICE & PALLIATIVE CARE INC

Laboratory Demographics

CLIA Number: 05D2185351

Facility Name: ARC ANGEL HOSPICE & PALLIATIVE CARE INC

Facility Address:
11752 GARDEN GROVE BLVD STE 212
GARDEN GROVE, CA
ZIP 92843
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Facility Phone Number: 714 714-7908

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1992359129

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2185351
LAB Type	Hospice
Facility Name	ARC ANGEL HOSPICE & PALLIATIVE CARE INC
Street	11752 GARDEN GROVE BLVD STE 212
City	GARDEN GROVE
State	CA
ZIP	92843
Phone	714 714-7908
CertificateType	4
CertificateEffectiveDate	6/2/2022
CertificateExpirationDate	6/1/2024
FacilityType	Waiver

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