05D2274268 CLIA NUMBER - ALTA HOSPICE OF CALIFORNIA

Laboratory Demographics

CLIA Number: 05D2274268

Facility Name: ALTA HOSPICE OF CALIFORNIA

Facility Address:
1898 N ARROWHEAD AVE
SAN BERNARDINO, CA
ZIP 92405
Get Directions

Facility Phone Number: 866 935-5055

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1417579285

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2274268
LAB Type	Hospice
Facility Name	ALTA HOSPICE OF CALIFORNIA
Street	1898 N ARROWHEAD AVE
City	SAN BERNARDINO
State	CA
ZIP	92405
Phone	866 935-5055
CertificateType	4
CertificateEffectiveDate	12/29/2022
CertificateExpirationDate	12/28/2024
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