05D2193133 CLIA NUMBER - BRIDGE HOSPICE RIVERSIDE LLC

Laboratory Demographics

  • CLIA Code: 05D2193133
  • Facility Name: BRIDGE HOSPICE RIVERSIDE LLC
  • Facility Address: 38977 SKY CANYON DRIVE SUITE 110
    MURRIETA, CA
    ZIP 92563
  • Facility Phone: 951 332-9777
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: NANCY C. MOORE
  • NPI Number: 1689207094
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2193133
LAB Type Hospice
Facility Name BRIDGE HOSPICE RIVERSIDE LLC
Street 38977 SKY CANYON DRIVE SUITE 110
City MURRIETA
State CA
ZIP 92563
Phone 951 332-9777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Hospice
Lab Director NANCY C. MOORE

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