05D2244149 CLIA NUMBER - DM CARE HOSPICE, DBA PRN HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2244149
  • Facility Name: DM CARE HOSPICE, DBA PRN HOSPICE
  • Facility Address: 7100 HAYVENHURST AVE UNIT 309
    VAN NUYS, CA
    ZIP 91406
  • Facility Phone: 818 946-8242
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ROBERT E. LADINES
  • NPI Number: 1861002735
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2244149
LAB Type Hospice
Facility Name DM CARE HOSPICE, DBA PRN HOSPICE
Street 7100 HAYVENHURST AVE UNIT 309
City VAN NUYS
State CA
ZIP 91406
Phone 818 946-8242
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Hospice
Lab Director ROBERT E. LADINES

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