05D2235717 CLIA NUMBER - CREATIVE HOSPICE CARE INC

Laboratory Demographics

  • CLIA Code: 05D2235717
  • Facility Name: CREATIVE HOSPICE CARE INC
  • Facility Address: 7335 VAN NUYS BLVD SUTIE 224
    VAN NUYS, CA
    ZIP 91405
  • Facility Phone: 626 736-5579
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: AMARISH PRADHAN
  • NPI Number: 1194361964
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2235717
LAB Type Hospice
Facility Name CREATIVE HOSPICE CARE INC
Street 7335 VAN NUYS BLVD SUTIE 224
City VAN NUYS
State CA
ZIP 91405
Phone 626 736-5579
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/10/2025
Certificate Expiration Date 9/9/2027
Facility Type Hospice
Lab Director AMARISH PRADHAN

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