05D2112030 CLIA NUMBER - BURBANK CONGREGATE LIVING CENTER, INC.

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CLIA Record

Field Name Field Value
CLIA Number 05D2112030
LAB Type Other - CONGREGATE LIVING HLTH FA
Facility Name BURBANK CONGREGATE LIVING CENTER, INC.
Street 1100 LELAND WAY
City BURBANK
State CA
ZIP 91504
Phone 818 538-5434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2024
Certificate Expiration Date 4/19/2026
Facility Type Other - CONGREGATE LIVING HLTH FA
Lab Director HOSSEIN BABAALI, MD

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