05D2220057 CLIA NUMBER - AMICI HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2220057
  • Facility Name: AMICI HOSPICE INC
  • Facility Address: 7121 MAGNOLIA AVE SUITE F
    RIVERSIDE, CA
    ZIP 92504
  • Facility Phone: 951 335-5537
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ROBERT LADINES
  • NPI Number: 1053910604
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2220057
LAB Type Hospice
Facility Name AMICI HOSPICE INC
Street 7121 MAGNOLIA AVE SUITE F
City RIVERSIDE
State CA
ZIP 92504
Phone 951 335-5537
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Hospice
Lab Director ROBERT LADINES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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