05D2103873 CLIA NUMBER - STARLINE HOSPICE, INC.

Laboratory Demographics

  • CLIA Code: 05D2103873
  • Facility Name: STARLINE HOSPICE, INC.
  • Facility Address: 3053 W OLYMPIC BLVD, STE 207A
    LOS ANGELES, CA
    ZIP 90006
  • Facility Phone: 818 995-8314
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ROBERT HA MD
  • NPI Number: 1588009088
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2103873
LAB Type Hospice
Facility Name STARLINE HOSPICE, INC.
Street 3053 W OLYMPIC BLVD, STE 207A
City LOS ANGELES
State CA
ZIP 90006
Phone 818 995-8314
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Hospice
Lab Director ROBERT HA MD

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