05D2050189 CLIA NUMBER - THE AMBIENT HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2050189
  • Facility Name: THE AMBIENT HOSPICE INC
  • Facility Address: 14852 VENTURA BLVD STE 201
    SHERMAN OAKS, CA
    ZIP 91403
  • Facility Phone: 818 495-0888
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: VISHAL GOVIL
  • NPI Number: 1134476237
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2050189
LAB Type Hospice
Facility Name THE AMBIENT HOSPICE INC
Street 14852 VENTURA BLVD STE 201
City SHERMAN OAKS
State CA
ZIP 91403
Phone 818 495-0888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/20/2024
Certificate Expiration Date 11/19/2026
Facility Type Hospice
Lab Director VISHAL GOVIL

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