05D2018034 CLIA NUMBER - WESTERN CARE HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 05D2018034
  • Facility Name: WESTERN CARE HOSPICE, INC
  • Facility Address: 14545 VICTORY BLVD STE 505
    VAN NUYS, CA
    ZIP 91411
  • Facility Phone: 818 787-7702
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ROBERT E. LADINES
  • NPI Number: 1023328291
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2018034
LAB Type Hospice
Facility Name WESTERN CARE HOSPICE, INC
Street 14545 VICTORY BLVD STE 505
City VAN NUYS
State CA
ZIP 91411
Phone 818 787-7702
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2024
Certificate Expiration Date 12/21/2026
Facility Type Hospice
Lab Director ROBERT E. LADINES

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