05D2289176 CLIA NUMBER - CENTINELA HOSPICE CARE, INC.

Laboratory Demographics

  • CLIA Code: 05D2289176
  • Facility Name: CENTINELA HOSPICE CARE, INC.
  • Facility Address: 19634 VENTURA BLVD STE 219
    TARZANA, CA
    ZIP 91356
  • Facility Phone: 818 626-3009
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER SAMUEL M DAN
  • NPI Number: 1972104438
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2289176
LAB Type Hospice
Facility Name CENTINELA HOSPICE CARE, INC.
Street 19634 VENTURA BLVD STE 219
City TARZANA
State CA
ZIP 91356
Phone 818 626-3009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Hospice
Lab Director CHRISTOPHER SAMUEL M DAN

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