05D2081481 CLIA NUMBER - HOLY CARE HOSPICE, INC.

Laboratory Demographics

  • CLIA Code: 05D2081481
  • Facility Name: HOLY CARE HOSPICE, INC.
  • Facility Address: 13758 VICTORY BLVD STE 200
    VAN NUYS, CA
    ZIP 91401
  • Facility Phone: 818 786-1600
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DOMINGO BARRIENTOS
  • NPI Number: 1427397140
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2081481
LAB Type Hospice
Facility Name HOLY CARE HOSPICE, INC.
Street 13758 VICTORY BLVD STE 200
City VAN NUYS
State CA
ZIP 91401
Phone 818 786-1600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Hospice
Lab Director DOMINGO BARRIENTOS

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