05D2113601 CLIA NUMBER - HOLY SAVER HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2113601
  • Facility Name: HOLY SAVER HOSPICE INC
  • Facility Address: 14011 VENTURA BLVD SUITE 405E
    SHERMAN OAKS, CA
    ZIP 91423
  • Facility Phone: 818 866-3534
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: GOHAR GEVORGYAN, MD
  • NPI Number: 1881099497
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2113601
LAB Type Hospice
Facility Name HOLY SAVER HOSPICE INC
Street 14011 VENTURA BLVD SUITE 405E
City SHERMAN OAKS
State CA
ZIP 91423
Phone 818 866-3534
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/25/2024
Certificate Expiration Date 5/24/2026
Facility Type Hospice
Lab Director GOHAR GEVORGYAN, MD

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