05D1064770 CLIA NUMBER - GERINET PHYSICIAN SERVICES, INC DBA BRISTOL HOSPICE-NORTHERN LOS ANGELES

Laboratory Demographics

  • CLIA Code: 05D1064770
  • Facility Name: GERINET PHYSICIAN SERVICES, INC DBA BRISTOL HOSPICE-NORTHERN LOS ANGELES
  • Facility Address: 700 N CENTRAL AVENUE SUITE 550
    GLENDALE, CA
    ZIP 91203
  • Facility Phone: 818 559-1550
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DR. RAFFI HODIKIAN
  • NPI Number: 1043449291
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D1064770
LAB Type Hospice
Facility Name GERINET PHYSICIAN SERVICES, INC DBA BRISTOL HOSPICE-NORTHERN LOS ANGELES
Street 700 N CENTRAL AVENUE SUITE 550
City GLENDALE
State CA
ZIP 91203
Phone 818 559-1550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Hospice
Lab Director DR. RAFFI HODIKIAN

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