05D2220604 CLIA NUMBER - SUPERIOR HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2220604
  • Facility Name: SUPERIOR HOSPICE INC
  • Facility Address: 320 E WALNUT AVE., STE A
    LOMPOC, CA
    ZIP 93436
  • Facility Phone: 805 742-4519
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LAWRENCE LI
  • NPI Number: 1437790961
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2220604
LAB Type Hospice
Facility Name SUPERIOR HOSPICE INC
Street 320 E WALNUT AVE., STE A
City LOMPOC
State CA
ZIP 93436
Phone 805 742-4519
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/13/2025
Certificate Expiration Date 4/12/2027
Facility Type Hospice
Lab Director LAWRENCE LI

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