05D2159445 CLIA NUMBER - HOLISTIC HOSPICE CARE SERVICES INC

Laboratory Demographics

  • CLIA Code: 05D2159445
  • Facility Name: HOLISTIC HOSPICE CARE SERVICES INC
  • Facility Address: 1616 VICTORY BLVD, STE 202
    GLENDALE, CA
    ZIP 91201
  • Facility Phone: 818 484-5023
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ABDUL R. KHAN
  • NPI Number: 1598279473
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2159445
LAB Type Hospice
Facility Name HOLISTIC HOSPICE CARE SERVICES INC
Street 1616 VICTORY BLVD, STE 202
City GLENDALE
State CA
ZIP 91201
Phone 818 484-5023
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Hospice
Lab Director ABDUL R. KHAN

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