05D2181734 CLIA NUMBER - USA HOSPICE, INC

Laboratory Demographics

CLIA Number: 05D2181734

Facility Name: USA HOSPICE, INC

Facility Address:
18570 SHERMAN WAY SUITE H
RESEDA, CA
ZIP 91335
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Facility Phone Number: 818 850-0955

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1700425535

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2181734
LAB Type	Hospice
Facility Name	USA HOSPICE, INC
Street	18570 SHERMAN WAY SUITE H
City	RESEDA
State	CA
ZIP	91335
Phone	818 850-0955
CertificateType	4
CertificateEffectiveDate	4/9/2024
CertificateExpirationDate	4/8/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024