05D2057838 CLIA NUMBER - Fernando Hospice Care Llc

Laboratory Demographics

CLIA Number: 05D2057838

Facility Name: Fernando Hospice Care Llc

Facility Address:
6819 Sepulveda Blvd Ste 212,
Van Nuys, CA
ZIP 91405
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Facility Phone Number: (818) 902-0008

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1699048561

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 05D2057838
LAB Type HOSPICE
Facility Name Fernando Hospice Care Llc
Street 6819 Sepulveda Blvd Ste 212,
City Van Nuys
State CA
ZIP 91405
Phone 8189020008

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This page was last updated on: 5/19/2019