05D2105605 CLIA NUMBER - LA ARC HOSPICE, INC.

Laboratory Demographics

  • CLIA Code: 05D2105605
  • Facility Name: LA ARC HOSPICE, INC.
  • Facility Address: 5652 VINELAND AVE STE 202B
    NORTH HOLLYWOOD, CA
    ZIP 91601
  • Facility Phone: 818 762-3777
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: VIOLETA B. VICENCIO
  • NPI Number: 1376827758
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2105605
LAB Type Hospice
Facility Name LA ARC HOSPICE, INC.
Street 5652 VINELAND AVE STE 202B
City NORTH HOLLYWOOD
State CA
ZIP 91601
Phone 818 762-3777
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Hospice
Lab Director VIOLETA B. VICENCIO

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