05D2210591 CLIA NUMBER - PRECIOUS LOVE HOSPICE, INC.

Laboratory Demographics

  • CLIA Code: 05D2210591
  • Facility Name: PRECIOUS LOVE HOSPICE, INC.
  • Facility Address: 23800 SUNNYMEAD BLVD SUITE C
    MORENO VALLEY, CA
    ZIP 92553
  • Facility Phone: 951 221-1687
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: FAREEHA SIDDIQUI
  • NPI Number: 1730561085
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2210591
LAB Type Hospice
Facility Name PRECIOUS LOVE HOSPICE, INC.
Street 23800 SUNNYMEAD BLVD SUITE C
City MORENO VALLEY
State CA
ZIP 92553
Phone 951 221-1687
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Hospice
Lab Director FAREEHA SIDDIQUI

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