05D2074606 CLIA NUMBER - REGENT HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 05D2074606
  • Facility Name: REGENT HOSPICE, INC
  • Facility Address: 22048 SHERMAN WAY STE 103
    CANOGA PARK, CA
    ZIP 91303
  • Facility Phone: 818 280-4566
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: RAMI SHAARAWY, MD
  • NPI Number: 1790129492
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Hospice
Lab Director RAMI SHAARAWY, MD

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