05D2189125 CLIA NUMBER - CABRILLO HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2189125
  • Facility Name: CABRILLO HOSPICE
  • Facility Address: 32332 CAMINO CAPISTRANO STE 201
    SAN JUAN CAPISTRANO, CA
    ZIP 92675
  • Facility Phone: 858 345-3267
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JOHN CLANCY
  • NPI Number: 1518322593
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2189125
LAB Type Hospice
Facility Name CABRILLO HOSPICE
Street 32332 CAMINO CAPISTRANO STE 201
City SAN JUAN CAPISTRANO
State CA
ZIP 92675
Phone 858 345-3267
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Hospice
Lab Director JOHN CLANCY

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