05D2263975 CLIA NUMBER - GOLDEN STATE HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2263975
  • Facility Name: GOLDEN STATE HOSPICE
  • Facility Address: 20945 DEVONSHIRE STREET SUITE 206
    CHATSWORTH, CA
    ZIP 91311
  • Facility Phone: 818 678-9835
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: FLORA GURDIP
  • NPI Number: 1265063978
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2263975
LAB Type Hospice
Facility Name GOLDEN STATE HOSPICE
Street 20945 DEVONSHIRE STREET SUITE 206
City CHATSWORTH
State CA
ZIP 91311
Phone 818 678-9835
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type Hospice
Lab Director FLORA GURDIP

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