05D2043618 CLIA NUMBER - MAXIMUM CARE HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2043618
  • Facility Name: MAXIMUM CARE HOSPICE INC
  • Facility Address: 5301 LAUREL CANYON BLVD STE 230
    VALLEY VILLAGE, CA
    ZIP 91607
  • Facility Phone: 818 232-8123
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: VLAD NUSINOVICH
  • NPI Number: 1326315466
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2043618
LAB Type Hospice
Facility Name MAXIMUM CARE HOSPICE INC
Street 5301 LAUREL CANYON BLVD STE 230
City VALLEY VILLAGE
State CA
ZIP 91607
Phone 818 232-8123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Hospice
Lab Director VLAD NUSINOVICH

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