05D2048469 CLIA NUMBER - I CARE HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2048469
  • Facility Name: I CARE HOSPICE INC
  • Facility Address: 2025 N GLENOAKS BLVD STE 202
    BURBANK, CA
    ZIP 91504
  • Facility Phone: 818 238-9188
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LEONARDO ORTIZ
  • NPI Number: 1801150636
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2048469
LAB Type Hospice
Facility Name I CARE HOSPICE INC
Street 2025 N GLENOAKS BLVD STE 202
City BURBANK
State CA
ZIP 91504
Phone 818 238-9188
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Hospice
Lab Director LEONARDO ORTIZ

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