05D2058109 CLIA NUMBER - Gates To Paradise Hospice Care Inc.

Laboratory Demographics

CLIA Number: 05D2058109

Facility Name: Gates To Paradise Hospice Care Inc.

Facility Address:
8700 Reseda Blvd Ste 102,
Northridge, CA
ZIP 91324
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Facility Phone Number: (888) 988-4080

Facility Type: HOSPICE

Certificate Type: Waiver

NPI Number: 1629346465

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 05D2058109
LAB Type HOSPICE
Facility Name Gates To Paradise Hospice Care Inc.
Street 8700 Reseda Blvd Ste 102,
City Northridge
State CA
ZIP 91324
Phone 8889884080

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