05D2198115 CLIA NUMBER - INFINITE CARE HOSPICE INC

Laboratory Demographics

CLIA Number: 05D2198115

Facility Name: INFINITE CARE HOSPICE INC

Facility Address:
2102 BUSINESS CENTER DRIVE SUITE 200
IRVINE, CA
ZIP 92612
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Facility Phone Number: 949 253-5732

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1972123412

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 05D2198115
LAB Type Hospice
Facility Name INFINITE CARE HOSPICE INC
Street 2102 BUSINESS CENTER DRIVE SUITE 200
City IRVINE
State CA
ZIP 92612
Phone 949 253-5732
CertificateType 4
CertificateEffectiveDate 10/29/2022
CertificateExpirationDate 10/28/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024