05D2306374 CLIA NUMBER - GOLDEN HOSPICE, INC.

Laboratory Demographics

  • CLIA Code: 05D2306374
  • Facility Name: GOLDEN HOSPICE, INC.
  • Facility Address: 14640 VICTORY BLVD, STE 225B
    VAN NUYS, CA
    ZIP 91411
  • Facility Phone: 818 646-3999
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ADAM R. KLANG
  • NPI Number: 1528681798
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2306374
LAB Type Hospice
Facility Name GOLDEN HOSPICE, INC.
Street 14640 VICTORY BLVD, STE 225B
City VAN NUYS
State CA
ZIP 91411
Phone 818 646-3999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/17/2024
Certificate Expiration Date 6/16/2026
Facility Type Hospice
Lab Director ADAM R. KLANG

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