05D2230468 CLIA NUMBER - GOLDEN TIME HOSPICE, INC.

Laboratory Demographics

CLIA Number: 05D2230468

Facility Name: GOLDEN TIME HOSPICE, INC.

Facility Address:
24355 LYONS AVE SUITE 235
SANTA CLARITA, CA
ZIP 91351
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Facility Phone Number: 661 490-9910

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1932712924

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2230468
LAB Type	Hospice
Facility Name	GOLDEN TIME HOSPICE, INC.
Street	24355 LYONS AVE SUITE 235
City	SANTA CLARITA
State	CA
ZIP	91351
Phone	661 490-9910
CertificateType	4
CertificateEffectiveDate	7/23/2023
CertificateExpirationDate	7/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024