05D2279219 CLIA NUMBER - UMBRELLA HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 05D2279219
  • Facility Name: UMBRELLA HOSPICE, INC
  • Facility Address: 4221 WILSHIRE BLVD STE 170-14
    LOS ANGELES, CA
    ZIP 90010
  • Facility Phone: 323 272-3648
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: PAULA LYNN BAILEY-WALTON
  • NPI Number: 1922665991
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2279219
LAB Type Hospice
Facility Name UMBRELLA HOSPICE, INC
Street 4221 WILSHIRE BLVD STE 170-14
City LOS ANGELES
State CA
ZIP 90010
Phone 323 272-3648
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Hospice
Lab Director PAULA LYNN BAILEY-WALTON

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