05D2297597 CLIA NUMBER - PANACEA HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2297597
  • Facility Name: PANACEA HOSPICE INC
  • Facility Address: 8215 VAN NUYS BLVD SUITE 304
    PANORAMA CITY, CA
    ZIP 91402
  • Facility Phone: 747 247-1253
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SHIVANAND POLE
  • NPI Number: 1083123483
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2297597
LAB Type Hospice
Facility Name PANACEA HOSPICE INC
Street 8215 VAN NUYS BLVD SUITE 304
City PANORAMA CITY
State CA
ZIP 91402
Phone 747 247-1253
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2024
Certificate Expiration Date 1/17/2026
Facility Type Hospice
Lab Director SHIVANAND POLE

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