05D2317346 CLIA NUMBER - COASTLINE HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2317346
  • Facility Name: COASTLINE HOSPICE INC
  • Facility Address: 450 N BRAND BLVD SUITE 600
    GLENDALE, CA
    ZIP 91203
  • Facility Phone: 562 317-8778
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: RAME IBERDEMAJ
  • NPI Number: 1336746684
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2317346
LAB Type Hospice
Facility Name COASTLINE HOSPICE INC
Street 450 N BRAND BLVD SUITE 600
City GLENDALE
State CA
ZIP 91203
Phone 562 317-8778
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2025
Certificate Expiration Date 1/21/2027
Facility Type Hospice
Lab Director RAME IBERDEMAJ

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