05D2155635 CLIA NUMBER - MAKA HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2155635
  • Facility Name: MAKA HOSPICE INC
  • Facility Address: 7120 HAVENHURST AVENUE STE 112
    VAN NUYS, CA
    ZIP 91406
  • Facility Phone: 818 786-0035
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SANTIAGO D. CORPUZ
  • NPI Number: 1619301553
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2155635
LAB Type Hospice
Facility Name MAKA HOSPICE INC
Street 7120 HAVENHURST AVENUE STE 112
City VAN NUYS
State CA
ZIP 91406
Phone 818 786-0035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Hospice
Lab Director SANTIAGO D. CORPUZ

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