05D2106402 CLIA NUMBER - TRINITY HEALTH SERVICES PRISTINE HOSPICE CARE

Laboratory Demographics

  • CLIA Code: 05D2106402
  • Facility Name: TRINITY HEALTH SERVICES PRISTINE HOSPICE CARE
  • Facility Address: 1419 N SAN FERNANDO BLVD, STE 101
    BURBANK, CA
    ZIP 91504
  • Facility Phone: 818 422-8610
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LAILA HANNA MD
  • NPI Number: 1770998940
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2106402
LAB Type Hospice
Facility Name TRINITY HEALTH SERVICES PRISTINE HOSPICE CARE
Street 1419 N SAN FERNANDO BLVD, STE 101
City BURBANK
State CA
ZIP 91504
Phone 818 422-8610
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2023
Certificate Expiration Date 12/16/2025
Facility Type Hospice
Lab Director LAILA HANNA MD

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