05D2103861 CLIA NUMBER - PRIDE HOSPICE CARE INC

Laboratory Demographics

  • CLIA Code: 05D2103861
  • Facility Name: PRIDE HOSPICE CARE INC
  • Facility Address: 3033 N AVON ST STE B
    BURBANK, CA
    ZIP 91504
  • Facility Phone: 818 333-5876
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DAVID M. KOCELLI
  • NPI Number: 1447691282
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2103861
LAB Type Hospice
Facility Name PRIDE HOSPICE CARE INC
Street 3033 N AVON ST STE B
City BURBANK
State CA
ZIP 91504
Phone 818 333-5876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2025
Certificate Expiration Date 10/20/2027
Facility Type Hospice
Lab Director DAVID M. KOCELLI

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