05D2265828 CLIA NUMBER - ELBRUS HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2265828
  • Facility Name: ELBRUS HOSPICE INC
  • Facility Address: 19725 SHERMAN WAY STE 310
    WINNETKA, CA
    ZIP 91306
  • Facility Phone: 626 414-2142
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER DAN
  • NPI Number: 1376157404
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2265828
LAB Type Hospice
Facility Name ELBRUS HOSPICE INC
Street 19725 SHERMAN WAY STE 310
City WINNETKA
State CA
ZIP 91306
Phone 626 414-2142
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Hospice
Lab Director CHRISTOPHER DAN

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