05D2230904 CLIA NUMBER - INFINITE HOPE HOSPICE CORP

Laboratory Demographics

CLIA Number: 05D2230904

Facility Name: INFINITE HOPE HOSPICE CORP

Facility Address:
225 W HOSPITALITY LANE SUITE 305
SAN BERNARDINO, CA
ZIP 92408
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Facility Phone Number: 909 567-2547

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1922648104

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2230904
LAB Type	Hospice
Facility Name	INFINITE HOPE HOSPICE CORP
Street	225 W HOSPITALITY LANE SUITE 305
City	SAN BERNARDINO
State	CA
ZIP	92408
Phone	909 567-2547
CertificateType	4
CertificateEffectiveDate	7/28/2023
CertificateExpirationDate	7/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024