05D2230126 CLIA NUMBER - PACIFIC COAST HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2230126
  • Facility Name: PACIFIC COAST HOSPICE
  • Facility Address: 20953 DEVONSHIRE ST. #8B
    CHATSWORTH, CA
    ZIP 91311
  • Facility Phone: 310 877-8067
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KENNETH BLEIFER
  • NPI Number: 1659902922
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2230126
LAB Type Hospice
Facility Name PACIFIC COAST HOSPICE
Street 20953 DEVONSHIRE ST. #8B
City CHATSWORTH
State CA
ZIP 91311
Phone 310 877-8067
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Hospice
Lab Director KENNETH BLEIFER

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