05D2316800 CLIA NUMBER - ST JAMES HOSPICE INC.

Laboratory Demographics

  • CLIA Code: 05D2316800
  • Facility Name: ST JAMES HOSPICE INC.
  • Facility Address: 7050 OWENSMOUTH AVE STE 209
    CANOGA PARK, CA
    ZIP 91303
  • Facility Phone: 323 645-1141
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LEE NELSON
  • NPI Number: 1720688724
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2316800
LAB Type Hospice
Facility Name ST JAMES HOSPICE INC.
Street 7050 OWENSMOUTH AVE STE 209
City CANOGA PARK
State CA
ZIP 91303
Phone 323 645-1141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Hospice
Lab Director LEE NELSON

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