05D2307530 CLIA NUMBER - APF HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 05D2307530
  • Facility Name: APF HOSPICE, INC
  • Facility Address: 1425 W FOOTHILL BLVD SUITE 305
    UPLAND, CA
    ZIP 91786
  • Facility Phone: 909 931-1112
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: TAREK EZZEDDINE
  • NPI Number: 1851986038
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2307530
LAB Type Hospice
Facility Name APF HOSPICE, INC
Street 1425 W FOOTHILL BLVD SUITE 305
City UPLAND
State CA
ZIP 91786
Phone 909 931-1112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/10/2024
Certificate Expiration Date 7/9/2026
Facility Type Hospice
Lab Director TAREK EZZEDDINE

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