05D1021935 CLIA NUMBER - ACTIVE HOSPICE CARE INC

Laboratory Demographics

  • CLIA Code: 05D1021935
  • Facility Name: ACTIVE HOSPICE CARE INC
  • Facility Address: 704 S VICTORY BLVD, SUITE 100
    BURBANK, CA
    ZIP 91502
  • Facility Phone: 818 848-8222
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: WUFFA ALRASHID
  • NPI Number: 1326232810
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D1021935
LAB Type Hospice
Facility Name ACTIVE HOSPICE CARE INC
Street 704 S VICTORY BLVD, SUITE 100
City BURBANK
State CA
ZIP 91502
Phone 818 848-8222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Hospice
Lab Director WUFFA ALRASHID

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