05D1006728 CLIA NUMBER - LOS ANGELES HOSPICE INC

Laboratory Demographics

CLIA Number: 05D1006728

Facility Name: LOS ANGELES HOSPICE INC

Facility Address:
3580 WILSHIRE BLVD STE 1290
LOS ANGELES, CA
ZIP 90010
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Facility Phone Number: 213 351-1030

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1578541496

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D1006728
LAB Type	Hospice
Facility Name	LOS ANGELES HOSPICE INC
Street	3580 WILSHIRE BLVD STE 1290
City	LOS ANGELES
State	CA
ZIP	90010
Phone	213 351-1030
CertificateType	4
CertificateEffectiveDate	11/26/2022
CertificateExpirationDate	11/25/2024
FacilityType	Waiver

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