05D2191950 CLIA NUMBER - TAYBIAN HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2191950
  • Facility Name: TAYBIAN HOSPICE INC
  • Facility Address: 1940 WEST ORANGEWOOD AVENUE SUITE 110
    ORANGE, CA
    ZIP 92868
  • Facility Phone: 714 451-7930
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: EVELYN BASCO
  • NPI Number: 1104434596
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2191950
LAB Type Hospice
Facility Name TAYBIAN HOSPICE INC
Street 1940 WEST ORANGEWOOD AVENUE SUITE 110
City ORANGE
State CA
ZIP 92868
Phone 714 451-7930
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Hospice
Lab Director EVELYN BASCO

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