05D2205727 CLIA NUMBER - AGA ANGELS HOSPICE, INC.

Laboratory Demographics

  • CLIA Code: 05D2205727
  • Facility Name: AGA ANGELS HOSPICE, INC.
  • Facility Address: 11791 SHERMAN WAY UNIT A
    NORTH HOLLYWOOD, CA
    ZIP 91605
  • Facility Phone: 888 398-3256
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: HOSSEIN BABAALI
  • NPI Number: 1669089165
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2205727
LAB Type Hospice
Facility Name AGA ANGELS HOSPICE, INC.
Street 11791 SHERMAN WAY UNIT A
City NORTH HOLLYWOOD
State CA
ZIP 91605
Phone 888 398-3256
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Hospice
Lab Director HOSSEIN BABAALI

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