05D2191016 CLIA NUMBER - NEWPORT HOSPICE CARE

Laboratory Demographics

  • CLIA Code: 05D2191016
  • Facility Name: NEWPORT HOSPICE CARE
  • Facility Address: 9849 FOOTHILL BLVD STE B
    RANCHO CUCAMONGA, CA
    ZIP 91730
  • Facility Phone: 909 727-3223
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: BENYAMIN HANI
  • NPI Number: 1033745062
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2191016
LAB Type Hospice
Facility Name NEWPORT HOSPICE CARE
Street 9849 FOOTHILL BLVD STE B
City RANCHO CUCAMONGA
State CA
ZIP 91730
Phone 909 727-3223
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Hospice
Lab Director BENYAMIN HANI

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