05D2074606 CLIA NUMBER - REGENT HOSPICE, INC

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Laboratory Demographics

CLIA Number: 05D2074606

Facility Name: REGENT HOSPICE, INC

Facility Address:
22048 SHERMAN WAY STE 103
CANOGA PARK, CA
ZIP 91303
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Facility Phone Number: 818 280-4566

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1790129492

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2074606
LAB Type	Hospice
Facility Name	REGENT HOSPICE, INC
Street	22048 SHERMAN WAY STE 103
City	CANOGA PARK
State	CA
ZIP	91303
Phone	818 280-4566
CertificateType	4
CertificateEffectiveDate	3/12/2024
CertificateExpirationDate	3/11/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024