05D2104336 CLIA NUMBER - VERTEX HOSPICE CARE, INC

Laboratory Demographics

  • CLIA Code: 05D2104336
  • Facility Name: VERTEX HOSPICE CARE, INC
  • Facility Address: 28436 CONSTELLATION RD, STE 100
    SANTA CLARITA, CA
    ZIP 91355
  • Facility Phone: 818 937-1001
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: RODOLFO PROTACIO MD
  • NPI Number: 1487066502
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2104336
LAB Type Hospice
Facility Name VERTEX HOSPICE CARE, INC
Street 28436 CONSTELLATION RD, STE 100
City SANTA CLARITA
State CA
ZIP 91355
Phone 818 937-1001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Hospice
Lab Director RODOLFO PROTACIO MD

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