05D2050231 CLIA NUMBER - TOLUCA HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2050231
  • Facility Name: TOLUCA HOSPICE INC
  • Facility Address: 4511 DENNY AVE
    NORTH HOLLYWOOD, CA
    ZIP 91602
  • Facility Phone: 818 824-5655
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: EVELYN G. BASCO MD
  • NPI Number: 1609125970
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2050231
LAB Type Hospice
Facility Name TOLUCA HOSPICE INC
Street 4511 DENNY AVE
City NORTH HOLLYWOOD
State CA
ZIP 91602
Phone 818 824-5655
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2024
Certificate Expiration Date 11/20/2026
Facility Type Hospice
Lab Director EVELYN G. BASCO MD

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