CLIA lab
CLIA 05D2172673: Sama Hospice, Inc
N Hollywood, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D2172673 belongs to Sama Hospice, Inc in N Hollywood, CA.
Certificate of Waiver, effective September 26, 2025, expires September 25, 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
- September 26, 2025
- Certificate expiration
- September 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 26, 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
- 05D2172673
- Lab name
- Sama Hospice, Inc
- Address
- 10545 Burbank Blvd #120, N Hollywood, CA 91601
- Phone
- (818) 442-5948
- Fax
- (818) 936-0880
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Arba Home Healthcare IncCertificate of Waiver, Home health agency05D2191790
- Gods Army Wellness Home IncCertificate of Waiver, Other05D2314805
- Integrative Pediatrics and Medicine Studio CityCertificate of Waiver, Physician office05D2153682
- Lakeside Medical Organization, A Medical GRP, IncCertificate of Waiver, Physician office05D0952072
- Legacy Healing Center California, LLCCertificate of Waiver, Other05D2320430
- Legacy Healing Center California, LLCCertificate of Waiver, Other05D2320465
- Legacy Healing Center California, LLCCertificate of Waiver, Other05D2321520
- Lifeline Medical Laboratory IncCertificate of Compliance, Independent05D1039663
- Shavash Safvati MDCertificate of Waiver, Physician office05D0943646
Related
Questions
What is the CLIA number for Sama Hospice, Inc in N Hollywood?
05D2172673, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sama Hospice, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 05D2172673 expire?
The CMS file lists September 25, 2027 as the certificate expiration date; the certificate took effect September 26, 2025.