05D2313109 CLIA NUMBER - AAA HOSPICE CARE & NURSING INC

Laboratory Demographics

  • CLIA Code: 05D2313109
  • Facility Name: AAA HOSPICE CARE & NURSING INC
  • Facility Address: 229 N CENTRAL AVE STE 507
    GLENDALE, CA
    ZIP 91203
  • Facility Phone: 818 779-0405
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: VISHAL GOVIL
  • NPI Number: 1760085351
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2313109
LAB Type Hospice
Facility Name AAA HOSPICE CARE & NURSING INC
Street 229 N CENTRAL AVE STE 507
City GLENDALE
State CA
ZIP 91203
Phone 818 779-0405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/24/2024
Certificate Expiration Date 10/23/2026
Facility Type Hospice
Lab Director VISHAL GOVIL

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