05D2098289 CLIA NUMBER - TRIUNION HEALTHCARE

Laboratory Demographics

  • CLIA Code: 05D2098289
  • Facility Name: TRIUNION HEALTHCARE
  • Facility Address: 6350 LAUREL CANYON BLVD STE 207
    NORTH HOLLYWOOD, CA
    ZIP 91606
  • Facility Phone: 818 230-7688
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SIMON R. VALENCIA, MD
  • NPI Number: 1225321631
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2098289
LAB Type Hospice
Facility Name TRIUNION HEALTHCARE
Street 6350 LAUREL CANYON BLVD STE 207
City NORTH HOLLYWOOD
State CA
ZIP 91606
Phone 818 230-7688
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 SIMON R. VALENCIA, MD

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