05D2213890 CLIA NUMBER - GRACE HOSPICE CARE, INC.

Laboratory Demographics

  • CLIA Code: 05D2213890
  • Facility Name: GRACE HOSPICE CARE, INC.
  • Facility Address: 1739 TERMINO AVE STE A-1
    LONG BEACH, CA
    ZIP 90804
  • Facility Phone: 562 494-3273
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DIANA BRYANT
  • NPI Number: 1558907055
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2213890
LAB Type Hospice
Facility Name GRACE HOSPICE CARE, INC.
Street 1739 TERMINO AVE STE A-1
City LONG BEACH
State CA
ZIP 90804
Phone 562 494-3273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Hospice
Lab Director DIANA BRYANT

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