05D2058110 CLIA NUMBER - Excellence Hospice Care, Inc.

Laboratory Demographics

CLIA Number: 05D2058110

Facility Name: Excellence Hospice Care, Inc.

Facility Address:
21133 Victory Blvd., Ste. 215
Canoga Park, CA
ZIP 91303
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Facility Phone Number: (818) 431-8112

Facility Type: HOSPITAL

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 05D2058110
LAB Type HOSPITAL
Facility Name Excellence Hospice Care, Inc.
Street 21133 Victory Blvd., Ste. 215
City Canoga Park
State CA
ZIP 91303
Phone 8184318112

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This page was last updated on: 12/21/2017