05D2187308 CLIA NUMBER - SILVEROAK HOSPICE AND PALLIATIVE CARE INC

Laboratory Demographics

CLIA Number: 05D2187308

Facility Name: SILVEROAK HOSPICE AND PALLIATIVE CARE INC

Facility Address:
525 NORTH LAUREL AVE SUITE 103
ONTARIO, CA
ZIP 91762
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Facility Phone Number: 909 233-4120

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1851952444

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2187308
LAB Type	Hospice
Facility Name	SILVEROAK HOSPICE AND PALLIATIVE CARE INC
Street	525 NORTH LAUREL AVE SUITE 103
City	ONTARIO
State	CA
ZIP	91762
Phone	909 233-4120
CertificateType	4
CertificateEffectiveDate	6/29/2022
CertificateExpirationDate	6/28/2024
FacilityType	Waiver

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