05D2192572 CLIA NUMBER - CARDINAL HOSPICE AND PALLIATIVE CARE

Laboratory Demographics

  • CLIA Code: 05D2192572
  • Facility Name: CARDINAL HOSPICE AND PALLIATIVE CARE
  • Facility Address: 500 N PALM AVE
    ONTARIO, CA
    ZIP 91762
  • Facility Phone: 909 395-9676
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: TONY TSENG
  • NPI Number: 1972129641
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2192572
LAB Type Hospice
Facility Name CARDINAL HOSPICE AND PALLIATIVE CARE
Street 500 N PALM AVE
City ONTARIO
State CA
ZIP 91762
Phone 909 395-9676
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Hospice
Lab Director TONY TSENG

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