05D2244685 CLIA NUMBER - BRISTOL HOSPICE LAKE ISABELLA

Laboratory Demographics

  • CLIA Code: 05D2244685
  • Facility Name: BRISTOL HOSPICE LAKE ISABELLA
  • Facility Address: 5520 LAKE ISABELLA BLVD STE G5
    LAKE ISABELLA, CA
    ZIP 93240
  • Facility Phone: 760 379-5038
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: TODD FARRER
  • NPI Number: 1396726493
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2244685
LAB Type Hospice
Facility Name BRISTOL HOSPICE LAKE ISABELLA
Street 5520 LAKE ISABELLA BLVD STE G5
City LAKE ISABELLA
State CA
ZIP 93240
Phone 760 379-5038
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Hospice
Lab Director TODD FARRER

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