05D2040095 CLIA NUMBER - SALUTE HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2040095
  • Facility Name: SALUTE HOSPICE
  • Facility Address: 25835 NARBONNE AVE, STE 280C
    LOMITA, CA
    ZIP 90717
  • Facility Phone: 818 638-8522
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: VIOLETA B. VICENCIO
  • NPI Number: 1568753358
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2040095
LAB Type Hospice
Facility Name SALUTE HOSPICE
Street 25835 NARBONNE AVE, STE 280C
City LOMITA
State CA
ZIP 90717
Phone 818 638-8522
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Hospice
Lab Director VIOLETA B. VICENCIO

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