05D2091034 CLIA NUMBER - AMERICAN HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2091034
  • Facility Name: AMERICAN HOSPICE INC
  • Facility Address: 120 S VICTORY BLVD, STE 205
    BURBANK, CA
    ZIP 91502
  • Facility Phone: 818 562-7511
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LAILA CHAWAKY HANNA
  • NPI Number: 1326317983
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2091034
LAB Type Hospice
Facility Name AMERICAN HOSPICE INC
Street 120 S VICTORY BLVD, STE 205
City BURBANK
State CA
ZIP 91502
Phone 818 562-7511
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/4/2025
Certificate Expiration Date 2/3/2027
Facility Type Hospice
Lab Director LAILA CHAWAKY HANNA

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