CLIA lab

CLIA 05D2160634: Light Angel Hospice Inc

Van Nuys, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2160634 belongs to Light Angel Hospice Inc in Van Nuys, CA.

Certificate of Waiver, effective January 15, 2025, expires January 14, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
January 15, 2025
Certificate expiration
January 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 15, 2019
Facility type
Hospice
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2160634
Lab name
Light Angel Hospice Inc
Address
13609 Victory Blvd, #236, Van Nuys, CA 91401
Phone
(747) 208-4477
Fax
(323) 576-4546

Annual test volume the lab reported

Waived tests
50

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Van Nuys, CA

Related

Questions

What is the CLIA number for Light Angel Hospice Inc in Van Nuys?

05D2160634, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Light Angel Hospice Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2160634 expire?

The CMS file lists January 14, 2027 as the certificate expiration date; the certificate took effect January 15, 2025.

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