05D2289618 CLIA NUMBER - PD HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 05D2289618
  • Facility Name: PD HOSPICE, INC
  • Facility Address: 10324 BALBOA BLVD SUITE 200
    NORTHRIDGE, CA
    ZIP 91324
  • Facility Phone: 747 202-0733
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: PHILLIP TAFOYA
  • NPI Number: 1821609660
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2289618
LAB Type Hospice
Facility Name PD HOSPICE, INC
Street 10324 BALBOA BLVD SUITE 200
City NORTHRIDGE
State CA
ZIP 91324
Phone 747 202-0733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2025
Certificate Expiration Date 9/12/2027
Facility Type Hospice
Lab Director PHILLIP TAFOYA

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