05D2099583 CLIA NUMBER - LUCKY PALLIATIVE SERVICES INCORPORATED

Laboratory Demographics

  • CLIA Code: 05D2099583
  • Facility Name: LUCKY PALLIATIVE SERVICES INCORPORATED
  • Facility Address: 20944 SHERMAN WAY STE 204
    CANOGA PARK, CA
    ZIP 91303
  • Facility Phone: 818 912-6520
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CLARENCE WARNER
  • NPI Number: 1699106120
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2099583
LAB Type Hospice
Facility Name LUCKY PALLIATIVE SERVICES INCORPORATED
Street 20944 SHERMAN WAY STE 204
City CANOGA PARK
State CA
ZIP 91303
Phone 818 912-6520
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/29/2025
Certificate Expiration Date 7/28/2027
Facility Type Hospice
Lab Director CLARENCE WARNER

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