05D2196686 CLIA NUMBER - ENCINITAS HOSPICE CARE INC

Laboratory Demographics

  • CLIA Code: 05D2196686
  • Facility Name: ENCINITAS HOSPICE CARE INC
  • Facility Address: 4849 RONSON CT, #204
    SAN DIEGO, CA
    ZIP 92111
  • Facility Phone: 866 568-6462
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: AMARISH D. PRADHAN
  • NPI Number: 1568845261
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2196686
LAB Type Hospice
Facility Name ENCINITAS HOSPICE CARE INC
Street 4849 RONSON CT, #204
City SAN DIEGO
State CA
ZIP 92111
Phone 866 568-6462
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Hospice
Lab Director AMARISH D. PRADHAN

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