05D1008020 CLIA NUMBER - SKIRBALL HOSPICE

Laboratory Demographics

  • CLIA Code: 05D1008020
  • Facility Name: SKIRBALL HOSPICE
  • Facility Address: 6345 BALBOA BLVD STE 315
    ENCINO, CA
    ZIP 91316
  • Facility Phone: 818 774-3040
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DR. RAPHAEL OREN
  • NPI Number: 1275536732
  • Taxonomy: 315D00000X - Hospice, Inpatient

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CLIA Record

Field Name Field Value
CLIA Number 05D1008020
LAB Type Hospice
Facility Name SKIRBALL HOSPICE
Street 6345 BALBOA BLVD STE 315
City ENCINO
State CA
ZIP 91316
Phone 818 774-3040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Hospice
Lab Director DR. RAPHAEL OREN

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