05D2306101 CLIA NUMBER - VALLEY COMMUNITY HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 05D2306101
  • Facility Name: VALLEY COMMUNITY HOSPICE, INC
  • Facility Address: 911 E SAN ANTONIO DR STE 8
    LONG BEACH, CA
    ZIP 90807
  • Facility Phone: 562 283-3880
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: HOANG-CHUONG N. VU
  • NPI Number: 1285115600
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2306101
LAB Type Hospice
Facility Name VALLEY COMMUNITY HOSPICE, INC
Street 911 E SAN ANTONIO DR STE 8
City LONG BEACH
State CA
ZIP 90807
Phone 562 283-3880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Hospice
Lab Director HOANG-CHUONG N. VU

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