05D2140870 CLIA NUMBER - CARDINAL CARE HOSPICE, INC.

Laboratory Demographics

  • CLIA Code: 05D2140870
  • Facility Name: CARDINAL CARE HOSPICE, INC.
  • Facility Address: 1110 N. WESTERN AVE.,#206
    LOS ANGELES, CA
    ZIP 90029
  • Facility Phone: 323 962-3840
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: PHILIP ZHOU
  • NPI Number: 1386012391
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 05D2140870
LAB Type Hospice
Facility Name CARDINAL CARE HOSPICE, INC.
Street 1110 N. WESTERN AVE.,#206
City LOS ANGELES
State CA
ZIP 90029
Phone 323 962-3840
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 PHILIP ZHOU

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