05D1015268 CLIA NUMBER - GRACE HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D1015268
  • Facility Name: GRACE HOSPICE INC
  • Facility Address: 1711 WEST TEMPLE STREET SUITE #3614
    LOS ANGELES, CA
    ZIP 90026
  • Facility Phone: 213 989-1600
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SEUNG HO CHOI
  • NPI Number: 1588722771
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1015268
LAB Type Hospice
Facility Name GRACE HOSPICE INC
Street 1711 WEST TEMPLE STREET SUITE #3614
City LOS ANGELES
State CA
ZIP 90026
Phone 213 989-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2025
Certificate Expiration Date 7/27/2027
Facility Type Hospice
Lab Director SEUNG HO CHOI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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