05D2219131 CLIA NUMBER - CALSTRO HOSPICE DESERT INC

Laboratory Demographics

  • CLIA Code: 05D2219131
  • Facility Name: CALSTRO HOSPICE DESERT INC
  • Facility Address: 14455 PARK AVE STE A
    VICTORVILLE, CA
    ZIP 92392
  • Facility Phone: 760 974-0025
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: AMARISH PRADHAN
  • NPI Number: 1902408222
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2219131
LAB Type Hospice
Facility Name CALSTRO HOSPICE DESERT INC
Street 14455 PARK AVE STE A
City VICTORVILLE
State CA
ZIP 92392
Phone 760 974-0025
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type Hospice
Lab Director AMARISH PRADHAN

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This page was last updated on: 6/4/2025