05D2322092 CLIA NUMBER - ASSISTED HOME CARE, INC DBA ASSISTED HOSPICE CARE

Laboratory Demographics

  • CLIA Code: 05D2322092
  • Facility Name: ASSISTED HOME CARE, INC DBA ASSISTED HOSPICE CARE
  • Facility Address: 3916 SEPULVEDA BLVD SUITE 202
    CULVER CITY, CA
    ZIP 90230
  • Facility Phone: 213 355-3511
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: WILLIAM RAJALA
  • NPI Number: 1972991859
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2322092
LAB Type Hospice
Facility Name ASSISTED HOME CARE, INC DBA ASSISTED HOSPICE CARE
Street 3916 SEPULVEDA BLVD SUITE 202
City CULVER CITY
State CA
ZIP 90230
Phone 213 355-3511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/15/2025
Certificate Expiration Date 4/14/2027
Facility Type Hospice
Lab Director WILLIAM RAJALA

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