05D2279692 CLIA NUMBER - MEDPLUS HOSPICE SERVICES

Laboratory Demographics

  • CLIA Code: 05D2279692
  • Facility Name: MEDPLUS HOSPICE SERVICES
  • Facility Address: 555 N BENSON AVE UNIT D
    UPLAND, CA
    ZIP 91786
  • Facility Phone: 909 946-2255
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: VANDANA AGARWAL
  • NPI Number: 1841425170
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2279692
LAB Type Hospice
Facility Name MEDPLUS HOSPICE SERVICES
Street 555 N BENSON AVE UNIT D
City UPLAND
State CA
ZIP 91786
Phone 909 946-2255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2025
Certificate Expiration Date 4/4/2027
Facility Type Hospice
Lab Director VANDANA AGARWAL

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