05D2202813 CLIA NUMBER - AVE MARIA HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2202813
  • Facility Name: AVE MARIA HOSPICE INC
  • Facility Address: 16438 VANOWEN ST STE 208
    VAN NUYS, CA
    ZIP 91406
  • Facility Phone: 747 262-7272
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: RAJIV BHUVA
  • NPI Number: 1710504204
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2202813
LAB Type Hospice
Facility Name AVE MARIA HOSPICE INC
Street 16438 VANOWEN ST STE 208
City VAN NUYS
State CA
ZIP 91406
Phone 747 262-7272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Hospice
Lab Director RAJIV BHUVA

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