05D2295182 CLIA NUMBER - MERCY VILLA HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2295182
  • Facility Name: MERCY VILLA HOSPICE INC
  • Facility Address: 9700 RESEDA BLVD SUITE 100
    NORTHRIDGE, CA
    ZIP 91324
  • Facility Phone: 818 651-7595
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: PARICHEHR TABIBIAN
  • NPI Number: 1770184814
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2295182
LAB Type Hospice
Facility Name MERCY VILLA HOSPICE INC
Street 9700 RESEDA BLVD SUITE 100
City NORTHRIDGE
State CA
ZIP 91324
Phone 818 651-7595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Hospice
Lab Director PARICHEHR TABIBIAN

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