05D2281965 CLIA NUMBER - TRILOGY HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2281965
  • Facility Name: TRILOGY HOSPICE INC
  • Facility Address: 14328 VICTORY BLVD STE K
    VAN NUYS, CA
    ZIP 91401
  • Facility Phone: 747 207-9377
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: RAJIV BHUVA
  • NPI Number: 1457948093
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2281965
LAB Type Hospice
Facility Name TRILOGY HOSPICE INC
Street 14328 VICTORY BLVD STE K
City VAN NUYS
State CA
ZIP 91401
Phone 747 207-9377
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2025
Certificate Expiration Date 5/14/2027
Facility Type Hospice
Lab Director RAJIV BHUVA

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