05D2057464 CLIA NUMBER - ATLANTIC CARE HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 05D2057464
  • Facility Name: ATLANTIC CARE HOSPICE, INC
  • Facility Address: 12444 VICTORY BLVD SUITE 303
    NORTH HOLLYWOOD, CA
    ZIP 91606
  • Facility Phone: 818 980-9770
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DR. ANDREW PAUL MORADO
  • NPI Number: 1598316606
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2057464
LAB Type Hospice
Facility Name ATLANTIC CARE HOSPICE, INC
Street 12444 VICTORY BLVD SUITE 303
City NORTH HOLLYWOOD
State CA
ZIP 91606
Phone 818 980-9770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Hospice
Lab Director DR. ANDREW PAUL MORADO

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