05D2303552 CLIA NUMBER - IMMEDIATE HOSPICE CARE INC

Laboratory Demographics

  • CLIA Code: 05D2303552
  • Facility Name: IMMEDIATE HOSPICE CARE INC
  • Facility Address: 14640 VICTORY BLVD #224
    VAN NUYS, CA
    ZIP 91411
  • Facility Phone: 818 997-7633
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: RAJIV BHUVA
  • NPI Number: 1598004863
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2303552
LAB Type Hospice
Facility Name IMMEDIATE HOSPICE CARE INC
Street 14640 VICTORY BLVD #224
City VAN NUYS
State CA
ZIP 91411
Phone 818 997-7633
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/26/2024
Certificate Expiration Date 4/25/2026
Facility Type Hospice
Lab Director RAJIV BHUVA

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