05D2178592 CLIA NUMBER - ADVANCED QUALITY HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 05D2178592
  • Facility Name: ADVANCED QUALITY HOSPICE, INC
  • Facility Address: 509 MARIN ST SUITE 229
    THOUSAND OAKS, CA
    ZIP 91360
  • Facility Phone: 805 585-5080
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: IGOR G. SHLIFER
  • NPI Number: 1720548969
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2178592
LAB Type Hospice
Facility Name ADVANCED QUALITY HOSPICE, INC
Street 509 MARIN ST SUITE 229
City THOUSAND OAKS
State CA
ZIP 91360
Phone 805 585-5080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2024
Certificate Expiration Date 2/4/2026
Facility Type Hospice
Lab Director IGOR G. SHLIFER

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