05D2098968 CLIA NUMBER - PEGASUS HH, INC

Laboratory Demographics

  • CLIA Code: 05D2098968
  • Facility Name: PEGASUS HH, INC
  • Facility Address: 105 W ALAMEDA AVE STE 217
    BURBANK, CA
    ZIP 91502
  • Facility Phone: 818 967-5040
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: GREGOR PARONIAN
  • NPI Number: 1255733234
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2098968
LAB Type Home Health Agency
Facility Name PEGASUS HH, INC
Street 105 W ALAMEDA AVE STE 217
City BURBANK
State CA
ZIP 91502
Phone 818 967-5040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2025
Certificate Expiration Date 7/16/2027
Facility Type Home Health Agency
Lab Director GREGOR PARONIAN

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