05D2229582 CLIA NUMBER - SILVERADO HOSPICE LOS ANGELES

Laboratory Demographics

  • CLIA Code: 05D2229582
  • Facility Name: SILVERADO HOSPICE LOS ANGELES
  • Facility Address: 15821 VENTURA BLVD SUITE 515
    ENCINO, CA
    ZIP 91436
  • Facility Phone: 818 848-4048
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: HICHAM SIOUTY
  • NPI Number: 1841410164
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2229582
LAB Type Hospice
Facility Name SILVERADO HOSPICE LOS ANGELES
Street 15821 VENTURA BLVD SUITE 515
City ENCINO
State CA
ZIP 91436
Phone 818 848-4048
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Hospice
Lab Director HICHAM SIOUTY

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