05D2104606 CLIA NUMBER - ST VINCENT HOSPICE SERVICES INC

Laboratory Demographics

  • CLIA Code: 05D2104606
  • Facility Name: ST VINCENT HOSPICE SERVICES INC
  • Facility Address: 420 S ROSEMEAD BLVD STE D-E
    PASADENA, CA
    ZIP 91107
  • Facility Phone: 626 796-1922
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LUIS A. ARTAVIA
  • NPI Number: 1447666995
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2104606
LAB Type Hospice
Facility Name ST VINCENT HOSPICE SERVICES INC
Street 420 S ROSEMEAD BLVD STE D-E
City PASADENA
State CA
ZIP 91107
Phone 626 796-1922
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2023
Certificate Expiration Date 11/8/2025
Facility Type Hospice
Lab Director LUIS A. ARTAVIA

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