05D2145202 CLIA NUMBER - GREAT LIFE HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2145202
  • Facility Name: GREAT LIFE HOSPICE
  • Facility Address: 14640 VICTORY NLVD, SUITE 213
    VAN NUYS, CA
    ZIP 91411
  • Facility Phone: 818 779-1010
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ANAHIT BLIKIAN, MD
  • NPI Number: 1891104139
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2145202
LAB Type Hospice
Facility Name GREAT LIFE HOSPICE
Street 14640 VICTORY NLVD, SUITE 213
City VAN NUYS
State CA
ZIP 91411
Phone 818 779-1010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Hospice
Lab Director ANAHIT BLIKIAN, MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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