05D2310591 CLIA NUMBER - ASSISTED HOME CARE INC DBA ASSISTED HOSPICE CARE

Laboratory Demographics

  • CLIA Code: 05D2310591
  • Facility Name: ASSISTED HOME CARE INC DBA ASSISTED HOSPICE CARE
  • Facility Address: 10550 SEPULVEDA BLVD STE 101
    MISSION HILLS, CA
    ZIP 91345
  • Facility Phone: 818 830-5003
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: WILLIAM RAJALA
  • NPI Number: 1205881778
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2310591
LAB Type Hospice
Facility Name ASSISTED HOME CARE INC DBA ASSISTED HOSPICE CARE
Street 10550 SEPULVEDA BLVD STE 101
City MISSION HILLS
State CA
ZIP 91345
Phone 818 830-5003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2024
Certificate Expiration Date 9/4/2026
Facility Type Hospice
Lab Director WILLIAM RAJALA

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