05D2269516 CLIA NUMBER - BELLEROSE HOSPICE CARE INC

Laboratory Demographics

CLIA Number: 05D2269516

Facility Name: BELLEROSE HOSPICE CARE INC

Facility Address:
26893 BOUQUET CANYON RD STE L
SANTA CLARITA, CA
ZIP 91350
Get Directions

Facility Phone Number: 661 857-7080

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1700473311

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2269516
LAB Type	Hospice
Facility Name	BELLEROSE HOSPICE CARE INC
Street	26893 BOUQUET CANYON RD STE L
City	SANTA CLARITA
State	CA
ZIP	91350
Phone	661 857-7080
CertificateType	4
CertificateEffectiveDate	9/27/2022
CertificateExpirationDate	9/26/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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