05D2017842 CLIA NUMBER - BONUM HOME HEALTH SERVICES

Laboratory Demographics

  • CLIA Code: 05D2017842
  • Facility Name: BONUM HOME HEALTH SERVICES
  • Facility Address: 2000 W MAGNOLIA BLVD SUITE 206
    BURBANK, CA
    ZIP 91506
  • Facility Phone: 818 556-3711
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MARDIROS H. MIHRANIAN
  • NPI Number: 1275739047
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2017842
LAB Type Home Health Agency
Facility Name BONUM HOME HEALTH SERVICES
Street 2000 W MAGNOLIA BLVD SUITE 206
City BURBANK
State CA
ZIP 91506
Phone 818 556-3711
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Home Health Agency
Lab Director MARDIROS H. MIHRANIAN

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