05D2239683 CLIA NUMBER - LIFE CARE HOSPICE SERVICES, LLC

Laboratory Demographics

  • CLIA Code: 05D2239683
  • Facility Name: LIFE CARE HOSPICE SERVICES, LLC
  • Facility Address: 205 WEST 5TH AVENUE SUITE 206
    ESCONDIDO, CA
    ZIP 92025
  • Facility Phone: 760 975-3769
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JAFREY SUHAIL
  • NPI Number: 1255947172
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2239683
LAB Type Hospice
Facility Name LIFE CARE HOSPICE SERVICES, LLC
Street 205 WEST 5TH AVENUE SUITE 206
City ESCONDIDO
State CA
ZIP 92025
Phone 760 975-3769
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2023
Certificate Expiration Date 10/12/2025
Facility Type Hospice
Lab Director JAFREY SUHAIL

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