05D2098278 CLIA NUMBER - LOYAL HOSPICE CARE, INC

Laboratory Demographics

  • CLIA Code: 05D2098278
  • Facility Name: LOYAL HOSPICE CARE, INC
  • Facility Address: 9608 VAN NUYS BLVD STE 207-B
    PANORAMA CITY, CA
    ZIP 91402
  • Facility Phone: 818 891-6777
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: PAULA BAILEY-WALTON
  • NPI Number: 1912328485
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2098278
LAB Type Hospice
Facility Name LOYAL HOSPICE CARE, INC
Street 9608 VAN NUYS BLVD STE 207-B
City PANORAMA CITY
State CA
ZIP 91402
Phone 818 891-6777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/2/2025
Certificate Expiration Date 7/1/2027
Facility Type Hospice
Lab Director PAULA BAILEY-WALTON

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