05D2191039 CLIA NUMBER - WESTERN PALLIATIVE CARE, INC.

Laboratory Demographics

  • CLIA Code: 05D2191039
  • Facility Name: WESTERN PALLIATIVE CARE, INC.
  • Facility Address: 21860 BURBANK BLVD SUITE 180B
    WOODLAND HILLS, CA
    ZIP 91367
  • Facility Phone: 818 888-8451
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: EVELYN BASCO
  • NPI Number: 1215218896
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2191039
LAB Type Hospice
Facility Name WESTERN PALLIATIVE CARE, INC.
Street 21860 BURBANK BLVD SUITE 180B
City WOODLAND HILLS
State CA
ZIP 91367
Phone 818 888-8451
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Hospice
Lab Director EVELYN BASCO

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