05D2224906 CLIA NUMBER - SHEPHERD HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 05D2224906
  • Facility Name: SHEPHERD HOSPICE, INC
  • Facility Address: 14827 VENTURA BLVD STE 226
    SHERMAN OAKS, CA
    ZIP 91403
  • Facility Phone: 818 666-1595
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JACKLIN POLADIAN
  • NPI Number: 1629683560
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2224906
LAB Type Hospice
Facility Name SHEPHERD HOSPICE, INC
Street 14827 VENTURA BLVD STE 226
City SHERMAN OAKS
State CA
ZIP 91403
Phone 818 666-1595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2025
Certificate Expiration Date 5/16/2027
Facility Type Hospice
Lab Director JACKLIN POLADIAN

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