05D2160371 CLIA NUMBER - OLYMPIA HOSPICE CARE INC

Laboratory Demographics

  • CLIA Code: 05D2160371
  • Facility Name: OLYMPIA HOSPICE CARE INC
  • Facility Address: 13721 VENTURA BLVD
    SHERMAN OAKS, CA
    ZIP 91423
  • Facility Phone: 747 222-8525
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DAMON B. RASKIN
  • NPI Number: 1770963159
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2160371
LAB Type Hospice
Facility Name OLYMPIA HOSPICE CARE INC
Street 13721 VENTURA BLVD
City SHERMAN OAKS
State CA
ZIP 91423
Phone 747 222-8525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Hospice
Lab Director DAMON B. RASKIN

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