05D2108469 CLIA NUMBER - SVA HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2108469
  • Facility Name: SVA HOSPICE
  • Facility Address: 13758 VICTORY BLVD SUITE 209
    VAN NUYS, CA
    ZIP 91401
  • Facility Phone: 818 946-8061
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: RAJIV BHUVA, MD
  • NPI Number: 1699158907
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2108469
LAB Type Hospice
Facility Name SVA HOSPICE
Street 13758 VICTORY BLVD SUITE 209
City VAN NUYS
State CA
ZIP 91401
Phone 818 946-8061
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Hospice
Lab Director RAJIV BHUVA, MD

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