05D2306915 CLIA NUMBER - MONROE HOSPICE CARE INC

Laboratory Demographics

  • CLIA Code: 05D2306915
  • Facility Name: MONROE HOSPICE CARE INC
  • Facility Address: 2120 FOOTHILL BLVD STE 201
    LA VERNE, CA
    ZIP 91750
  • Facility Phone: 818 351-9075
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MARK SAMONTE
  • NPI Number: 1598326548
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2306915
LAB Type Hospice
Facility Name MONROE HOSPICE CARE INC
Street 2120 FOOTHILL BLVD STE 201
City LA VERNE
State CA
ZIP 91750
Phone 818 351-9075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type Hospice
Lab Director MARK SAMONTE

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