05D2297093 CLIA NUMBER - LORIAN HEALTH HOSPIPCE, INC

Laboratory Demographics

CLIA Number: 05D2297093

Facility Name: LORIAN HEALTH HOSPIPCE, INC

Facility Address:
9325 SKY PARK COURT, SUITE 350
SAN DIEGO, CA
ZIP 92123
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Facility Phone Number: 858 944-0858

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1770163677

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2297093
LAB Type	Hospice
Facility Name	LORIAN HEALTH HOSPIPCE, INC
Street	9325 SKY PARK COURT, SUITE 350
City	SAN DIEGO
State	CA
ZIP	92123
Phone	858 944-0858
CertificateType	4
CertificateEffectiveDate	1/10/2024
CertificateExpirationDate	1/9/2026
FacilityType	Waiver

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