05D2052275 CLIA NUMBER - AMERICAN GENERAL HOSPICE CARE INC

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Laboratory Demographics

CLIA Number: 05D2052275

Facility Name: AMERICAN GENERAL HOSPICE CARE INC

Facility Address:
6909 RESEDA BLVD
RESEDA, CA
ZIP 91335
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Facility Phone Number: 818 785-8800

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1629326459

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2052275
LAB Type	Hospice
Facility Name	AMERICAN GENERAL HOSPICE CARE INC
Street	6909 RESEDA BLVD
City	RESEDA
State	CA
ZIP	91335
Phone	818 785-8800
CertificateType	4
CertificateEffectiveDate	1/8/2023
CertificateExpirationDate	1/7/2025
FacilityType	Waiver

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