05D2258464 CLIA NUMBER - BRIGHT HOSPICE CARE, INC

Laboratory Demographics

CLIA Number: 05D2258464

Facility Name: BRIGHT HOSPICE CARE, INC

Facility Address:
505 MONTGOMERY ST, SUITE 1059
SAN FRANCISCO, CA
ZIP 94111
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Facility Phone Number: 760 808-2646

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1174122832

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2258464
LAB Type	Hospice
Facility Name	BRIGHT HOSPICE CARE, INC
Street	505 MONTGOMERY ST, SUITE 1059
City	SAN FRANCISCO
State	CA
ZIP	94111
Phone	760 808-2646
CertificateType	4
CertificateEffectiveDate	4/21/2024
CertificateExpirationDate	4/20/2026
FacilityType	Waiver

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