05D2183487 CLIA NUMBER - VERONA HOSPICE, INC

Laboratory Demographics

CLIA Number: 05D2183487

Facility Name: VERONA HOSPICE, INC

Facility Address:
9608 VAN NUYS BLVD SUITE 204 A
PANORAMA CITY, CA
ZIP 91402
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Facility Phone Number: 818 830-8883

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1811547383

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2183487
LAB Type	Hospice
Facility Name	VERONA HOSPICE, INC
Street	9608 VAN NUYS BLVD SUITE 204 A
City	PANORAMA CITY
State	CA
ZIP	91402
Phone	818 830-8883
CertificateType	4
CertificateEffectiveDate	5/6/2022
CertificateExpirationDate	5/5/2024
FacilityType	Waiver

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