05D2197089 CLIA NUMBER - VICTORY CARE HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2197089
  • Facility Name: VICTORY CARE HOSPICE
  • Facility Address: 1254 S WATERMAN AVE STE 54
    SAN BERNARDINO, CA
    ZIP 92408
  • Facility Phone: 909 521-7899
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: FRANKIS ALMAGUEL
  • NPI Number: 1962012401
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2197089
LAB Type Hospice
Facility Name VICTORY CARE HOSPICE
Street 1254 S WATERMAN AVE STE 54
City SAN BERNARDINO
State CA
ZIP 92408
Phone 909 521-7899
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Hospice
Lab Director FRANKIS ALMAGUEL

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