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05D2188418 CLIA NUMBER - HOSPICE AND PALLIATIVE CARE OF CALIFORNIA INC

Laboratory Demographics

CLIA Number: 05D2188418

Facility Name: HOSPICE AND PALLIATIVE CARE OF CALIFORNIA INC

Facility Address:
1575 N LAKE AVE STE 100
PASADENA, CA
ZIP 91104
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Facility Phone Number: 626 345-9735

Facility Type: Hospice

Certificate Type: Waiver
NPI Number: 1245875749

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 05D2188418
LAB Type Hospice
Facility Name HOSPICE AND PALLIATIVE CARE OF CALIFORNIA INC
Street 1575 N LAKE AVE STE 100
City PASADENA
State CA
ZIP 91104
Phone 626 345-9735
CertificateType 4
CertificateEffectiveDate 7/16/2022
CertificateExpirationDate 7/15/2024
FacilityType Waiver

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