05D2172673 CLIA NUMBER - SAMA HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 05D2172673
  • Facility Name: SAMA HOSPICE, INC
  • Facility Address: 10545 BURBANK BLVD #120
    N HOLLYWOOD, CA
    ZIP 91601
  • Facility Phone: 818 442-5948
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: FARIBA JAVAHERIAN
  • NPI Number: 1811552458
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2172673
LAB Type Hospice
Facility Name SAMA HOSPICE, INC
Street 10545 BURBANK BLVD #120
City N HOLLYWOOD
State CA
ZIP 91601
Phone 818 442-5948
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2025
Certificate Expiration Date 9/25/2027
Facility Type Hospice
Lab Director FARIBA JAVAHERIAN

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