05D1102450 CLIA NUMBER - HESTIA HOSPICE AND PALLIATIVE CARE CORPORATION

Laboratory Demographics

CLIA Number: 05D1102450

Facility Name: HESTIA HOSPICE AND PALLIATIVE CARE CORPORATION

Facility Address:
15545 DEVONSHIRE ST STE 311
MISSION HILLS, CA
ZIP 91345
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Facility Phone Number: 818 639-4038

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1679708465

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D1102450
LAB Type	Hospice
Facility Name	HESTIA HOSPICE AND PALLIATIVE CARE CORPORATION
Street	15545 DEVONSHIRE ST STE 311
City	MISSION HILLS
State	CA
ZIP	91345
Phone	818 639-4038
CertificateType	4
CertificateEffectiveDate	7/20/2023
CertificateExpirationDate	7/19/2025
FacilityType	Waiver

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