05D2023718 CLIA NUMBER - SCOPE HEALTH CARE SERVICES INC DBA VIDA HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2023718
  • Facility Name: SCOPE HEALTH CARE SERVICES INC DBA VIDA HOSPICE
  • Facility Address: 1211 W MAGNOLIA BLVD
    BURBANK, CA
    ZIP 91506
  • Facility Phone: 818 848-8575
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: EDGAR C. BANEZ MD
  • NPI Number: 1871895979
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2023718
LAB Type Hospice
Facility Name SCOPE HEALTH CARE SERVICES INC DBA VIDA HOSPICE
Street 1211 W MAGNOLIA BLVD
City BURBANK
State CA
ZIP 91506
Phone 818 848-8575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Hospice
Lab Director EDGAR C. BANEZ MD

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