05D2277490 CLIA NUMBER - ATRIUM HOSPICE INC

Laboratory Demographics

CLIA Number: 05D2277490

Facility Name: ATRIUM HOSPICE INC

Facility Address:
11490 BURBANK BLVD, STE 1
NORTH HOLLYWOOD, CA
ZIP 91601
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Facility Phone Number: 818 452-9342

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1407478068

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2277490
LAB Type	Hospice
Facility Name	ATRIUM HOSPICE INC
Street	11490 BURBANK BLVD, STE 1
City	NORTH HOLLYWOOD
State	CA
ZIP	91601
Phone	818 452-9342
CertificateType	4
CertificateEffectiveDate	2/28/2023
CertificateExpirationDate	2/27/2025
FacilityType	Waiver

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