05D2104998 CLIA NUMBER - CARING LIKE FAMILY HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2104998
  • Facility Name: CARING LIKE FAMILY HOSPICE
  • Facility Address: 4223 GLENCOE AVENUE, STE B-115
    MARINA DEL REY, CA
    ZIP 90292
  • Facility Phone: 310 574-5950
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: MARTIN GORDON, MD
  • NPI Number: 1659788958
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2104998
LAB Type Hospice
Facility Name CARING LIKE FAMILY HOSPICE
Street 4223 GLENCOE AVENUE, STE B-115
City MARINA DEL REY
State CA
ZIP 90292
Phone 310 574-5950
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Hospice
Lab Director MARTIN GORDON, MD

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This page was last updated on: 6/4/2025