05D2104670 CLIA NUMBER - COLONIAL HOSPICE CARE, INC

Laboratory Demographics

  • CLIA Code: 05D2104670
  • Facility Name: COLONIAL HOSPICE CARE, INC
  • Facility Address: 224 E OLIVE AVE STE 218
    BURBANK, CA
    ZIP 91502
  • Facility Phone: 818 861-7671
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DOMINGO C. BARRIENTOS, MD
  • NPI Number: 1477979805
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2104670
LAB Type Hospice
Facility Name COLONIAL HOSPICE CARE, INC
Street 224 E OLIVE AVE STE 218
City BURBANK
State CA
ZIP 91502
Phone 818 861-7671
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Hospice
Lab Director DOMINGO C. BARRIENTOS, MD

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