05D2179889 CLIA NUMBER - SILVER SKY HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2179889
  • Facility Name: SILVER SKY HOSPICE INC
  • Facility Address: 6850 VAN NUYS BLVD SUITE 303
    VAN NUYS, CA
    ZIP 91405
  • Facility Phone: 818 290-3208
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ROBERT LADINES
  • NPI Number: 1407400351
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2179889
LAB Type Hospice
Facility Name SILVER SKY HOSPICE INC
Street 6850 VAN NUYS BLVD SUITE 303
City VAN NUYS
State CA
ZIP 91405
Phone 818 290-3208
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Hospice
Lab Director ROBERT LADINES

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This page was last updated on: 6/4/2025