05D2313515 CLIA NUMBER - BLOOMING LIFE HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2313515
  • Facility Name: BLOOMING LIFE HOSPICE
  • Facility Address: 600 W BROADWAY SUITE 300
    GLENDALE, CA
    ZIP 91204
  • Facility Phone: 818 369-0099
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: NEHAL G. PATEL
  • NPI Number: 1194341164
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2313515
LAB Type Hospice
Facility Name BLOOMING LIFE HOSPICE
Street 600 W BROADWAY SUITE 300
City GLENDALE
State CA
ZIP 91204
Phone 818 369-0099
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/1/2024
Certificate Expiration Date 10/31/2026
Facility Type Hospice
Lab Director NEHAL G. PATEL

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