05D2180324 CLIA NUMBER - PRIME CARE HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 05D2180324
  • Facility Name: PRIME CARE HOSPICE, INC
  • Facility Address: 1540 WEST GLENOAKS BLVD SUITE 203
    GLENDALE, CA
    ZIP 91201
  • Facility Phone: 818 937-2666
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: RAJIV H. BHUVA
  • NPI Number: 1194389007
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2180324
LAB Type Hospice
Facility Name PRIME CARE HOSPICE, INC
Street 1540 WEST GLENOAKS BLVD SUITE 203
City GLENDALE
State CA
ZIP 91201
Phone 818 937-2666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Hospice
Lab Director RAJIV H. BHUVA

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