05D2057464 CLIA NUMBER - Atlantic Care Hospice, Inc

Laboratory Demographics

CLIA Number: 05D2057464

Facility Name: Atlantic Care Hospice, Inc

Facility Address:
11712 Moorpark St., Ste 202
Studio City, CA
ZIP 91604
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Facility Phone Number: (818) 980-9770

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1598316606

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 05D2057464
LAB Type HOSPICE
Facility Name Atlantic Care Hospice, Inc
Street 11712 Moorpark St., Ste 202
City Studio City
State CA
ZIP 91604
Phone (818) 980-9770

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This page was last updated on: 12/19/2019