05D2321435 CLIA NUMBER - ST JUDE HOSPICE CARE ORANGECOAST PARTNERS

Laboratory Demographics

  • CLIA Code: 05D2321435
  • Facility Name: ST JUDE HOSPICE CARE ORANGECOAST PARTNERS
  • Facility Address: 121 N STATE COLLEGE BLVD STE 1A
    ANAHEIM, CA
    ZIP 92806
  • Facility Phone: 714 603-7314
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: HANI BENYAMIN
  • NPI Number: 1770986994
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2321435
LAB Type Home Health Agency
Facility Name ST JUDE HOSPICE CARE ORANGECOAST PARTNERS
Street 121 N STATE COLLEGE BLVD STE 1A
City ANAHEIM
State CA
ZIP 92806
Phone 714 603-7314
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Home Health Agency
Lab Director HANI BENYAMIN

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