05D2119816 CLIA NUMBER - FOREVER HOSPICE, INC.

Laboratory Demographics

  • CLIA Code: 05D2119816
  • Facility Name: FOREVER HOSPICE, INC.
  • Facility Address: 14550 ARCHWOOD ST, #101
    VAN NUYS, CA
    ZIP 91405
  • Facility Phone: 818 779-7937
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ANAHIT BLIKIAN
  • NPI Number: 1568882512
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2119816
LAB Type Hospice
Facility Name FOREVER HOSPICE, INC.
Street 14550 ARCHWOOD ST, #101
City VAN NUYS
State CA
ZIP 91405
Phone 818 779-7937
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2024
Certificate Expiration Date 10/3/2026
Facility Type Hospice
Lab Director ANAHIT BLIKIAN

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