05D2211761 CLIA NUMBER - REPUTABLE HOSPICE CARE

Laboratory Demographics

  • CLIA Code: 05D2211761
  • Facility Name: REPUTABLE HOSPICE CARE
  • Facility Address: 1122 E LINCOLN AVE, SUITE B500
    ORANGE, CA
    ZIP 92865
  • Facility Phone: 714 602-6756
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: WYZSCX M. PATACXIL
  • NPI Number: 1992307573
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2211761
LAB Type Hospice
Facility Name REPUTABLE HOSPICE CARE
Street 1122 E LINCOLN AVE, SUITE B500
City ORANGE
State CA
ZIP 92865
Phone 714 602-6756
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/30/2025
Certificate Expiration Date 1/29/2027
Facility Type Hospice
Lab Director WYZSCX M. PATACXIL

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