05D2295600 CLIA NUMBER - GOLDEN GATE HOSPICE CARE

Laboratory Demographics

  • CLIA Code: 05D2295600
  • Facility Name: GOLDEN GATE HOSPICE CARE
  • Facility Address: 6420 VAN NUYS BLVD STE 201
    VAN NUYS, CA
    ZIP 91401
  • Facility Phone: 747 282-1515
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: GLORIA MOSALVE
  • NPI Number: 1659919603
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2295600
LAB Type Hospice
Facility Name GOLDEN GATE HOSPICE CARE
Street 6420 VAN NUYS BLVD STE 201
City VAN NUYS
State CA
ZIP 91401
Phone 747 282-1515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Hospice
Lab Director GLORIA MOSALVE

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