05D2305788 CLIA NUMBER - NEW HEIGHTS HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2305788
  • Facility Name: NEW HEIGHTS HOSPICE
  • Facility Address: 1224 E. BROADWAY, STE 204
    GLENDALE, CA
    ZIP 91205
  • Facility Phone: 818 696-2153
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KIRTI S. TALOLE
  • NPI Number: 1639786353
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2305788
LAB Type Hospice
Facility Name NEW HEIGHTS HOSPICE
Street 1224 E. BROADWAY, STE 204
City GLENDALE
State CA
ZIP 91205
Phone 818 696-2153
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/6/2024
Certificate Expiration Date 6/5/2026
Facility Type Hospice
Lab Director KIRTI S. TALOLE

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