05D2220752 CLIA NUMBER - GOOD FELLOWS HOSPICE SERVICES INC

Laboratory Demographics

  • CLIA Code: 05D2220752
  • Facility Name: GOOD FELLOWS HOSPICE SERVICES INC
  • Facility Address: 1555 N VERDUGO RD STE 202
    GLENDALE, CA
    ZIP 91208
  • Facility Phone: 818 484-8722
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ABDUL R. KHAN
  • NPI Number: 1407479132
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2220752
LAB Type Hospice
Facility Name GOOD FELLOWS HOSPICE SERVICES INC
Street 1555 N VERDUGO RD STE 202
City GLENDALE
State CA
ZIP 91208
Phone 818 484-8722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/14/2025
Certificate Expiration Date 4/13/2027
Facility Type Hospice
Lab Director ABDUL R. KHAN

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