05D2214055 CLIA NUMBER - VALHALLA HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 05D2214055
  • Facility Name: VALHALLA HOSPICE LLC
  • Facility Address: 13737 ARTESIA BLVD, UNIT 207
    CERRITOS, CA
    ZIP 90703
  • Facility Phone: 714 583-7002
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: PHILIP ZHOU
  • NPI Number: 1104457480
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2214055
LAB Type Hospice
Facility Name VALHALLA HOSPICE LLC
Street 13737 ARTESIA BLVD, UNIT 207
City CERRITOS
State CA
ZIP 90703
Phone 714 583-7002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/18/2025
Certificate Expiration Date 2/17/2027
Facility Type Hospice
Lab Director PHILIP ZHOU

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