05D2228607 CLIA NUMBER - NEXUS HOSPICE OF THE INLAND EMPIRE LLC

Laboratory Demographics

  • CLIA Code: 05D2228607
  • Facility Name: NEXUS HOSPICE OF THE INLAND EMPIRE LLC
  • Facility Address: 1325 E COOLEY DRIVE, SUITE 103
    COLTON, CA
    ZIP 92324
  • Facility Phone: 909 757-8150
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ANOUSHEH ASHOURI
  • NPI Number: 1467074195
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2228607
LAB Type Hospice
Facility Name NEXUS HOSPICE OF THE INLAND EMPIRE LLC
Street 1325 E COOLEY DRIVE, SUITE 103
City COLTON
State CA
ZIP 92324
Phone 909 757-8150
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2023
Certificate Expiration Date 6/28/2025
Facility Type Hospice
Lab Director ANOUSHEH ASHOURI

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