05D2105142 CLIA NUMBER - HOSPICE OF ST. CLARE

Laboratory Demographics

  • CLIA Code: 05D2105142
  • Facility Name: HOSPICE OF ST. CLARE
  • Facility Address: 144 N GLENDALE AVE STE 222
    GLENDALE, CA
    ZIP 91206
  • Facility Phone: 818 508-8500
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LOUIS BENJAMIN FLORES
  • NPI Number: 1851678916
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2105142
LAB Type Hospice
Facility Name HOSPICE OF ST. CLARE
Street 144 N GLENDALE AVE STE 222
City GLENDALE
State CA
ZIP 91206
Phone 818 508-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Hospice
Lab Director LOUIS BENJAMIN FLORES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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