05D2210054 CLIA NUMBER - DEFINITIVE HOSPICE CARE

Laboratory Demographics

  • CLIA Code: 05D2210054
  • Facility Name: DEFINITIVE HOSPICE CARE
  • Facility Address: 1122 EAST LINCOLN AVENUE SUITE B400
    ORANGE, CA
    ZIP 92865
  • Facility Phone: 714 602-6779
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: WYZSCX M. PATACCXIL
  • NPI Number: 1083216659
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2210054
LAB Type Hospice
Facility Name DEFINITIVE HOSPICE CARE
Street 1122 EAST LINCOLN AVENUE SUITE B400
City ORANGE
State CA
ZIP 92865
Phone 714 602-6779
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2025
Certificate Expiration Date 1/18/2027
Facility Type Hospice
Lab Director WYZSCX M. PATACCXIL

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