05D2102200 CLIA NUMBER - SAUNDERS HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 05D2102200
  • Facility Name: SAUNDERS HOSPICE LLC
  • Facility Address: 9017 RESEDA BLVD STE 209
    NORTHRIDGE, CA
    ZIP 91324
  • Facility Phone: 818 717-8560
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JEFFREY SHUKHMAN
  • NPI Number: 1780090647
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2102200
LAB Type Hospice
Facility Name SAUNDERS HOSPICE LLC
Street 9017 RESEDA BLVD STE 209
City NORTHRIDGE
State CA
ZIP 91324
Phone 818 717-8560
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2025
Certificate Expiration Date 8/14/2027
Facility Type Hospice
Lab Director JEFFREY SHUKHMAN

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