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05D2297857 CLIA NUMBER - GREAT CARE HOSPICE AND PALLIATIVE CARE, INC

Laboratory Demographics

CLIA Number: 05D2297857

Facility Name: GREAT CARE HOSPICE AND PALLIATIVE CARE, INC

Facility Address:
14545 FRIAR ST STE 229
VAN NUYS, CA
ZIP 91411
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Facility Phone Number: 818 659-9230

Facility Type: Hospice

Certificate Type: Waiver
NPI Number: 1427658335

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name Field Value
CLIA Number 05D2297857
LAB Type Hospice
Facility Name GREAT CARE HOSPICE AND PALLIATIVE CARE, INC
Street 14545 FRIAR ST STE 229
City VAN NUYS
State CA
ZIP 91411
Phone 818 659-9230
CertificateType 4
CertificateEffectiveDate 1/23/2024
CertificateExpirationDate 1/22/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024