05D2029525 CLIA NUMBER - LIRA HOSPICE, INC

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Laboratory Demographics

CLIA Number: 05D2029525

Facility Name: LIRA HOSPICE, INC

Facility Address:
6222 WILSHIRE BLVD STE 230
LOS ANGELES, CA
ZIP 90048
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Facility Phone Number: 323 965-2263

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1659669562

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2029525
LAB Type	Hospice
Facility Name	LIRA HOSPICE, INC
Street	6222 WILSHIRE BLVD STE 230
City	LOS ANGELES
State	CA
ZIP	90048
Phone	323 965-2263
CertificateType	4
CertificateEffectiveDate	9/9/2023
CertificateExpirationDate	9/8/2025
FacilityType	Waiver

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