05D1068000 CLIA NUMBER - FIVE STAR HOME HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D1068000
  • Facility Name: FIVE STAR HOME HOSPICE INC
  • Facility Address: 1028 N LAKE AVE STE 106
    PASADENA, CA
    ZIP 91104
  • Facility Phone: 626 791-1764
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: GREGOR PARONIAN, MD
  • NPI Number: 1730206038
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D1068000
LAB Type Hospice
Facility Name FIVE STAR HOME HOSPICE INC
Street 1028 N LAKE AVE STE 106
City PASADENA
State CA
ZIP 91104
Phone 626 791-1764
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Hospice
Lab Director GREGOR PARONIAN, MD

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