05D2297221 CLIA NUMBER - HIGHLAND HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2297221
  • Facility Name: HIGHLAND HOSPICE INC
  • Facility Address: 21220 DEVONSHIRE ST STE 211
    CHATSWORTH, CA
    ZIP 91311
  • Facility Phone: 818 962-8489
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SIAMAK ETEHAD
  • NPI Number: 1992343651
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2297221
LAB Type Hospice
Facility Name HIGHLAND HOSPICE INC
Street 21220 DEVONSHIRE ST STE 211
City CHATSWORTH
State CA
ZIP 91311
Phone 818 962-8489
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Hospice
Lab Director SIAMAK ETEHAD

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