05D2115715 CLIA NUMBER - JOURNEY HOSPICE SERVICES INC

Laboratory Demographics

CLIA Number: 05D2115715

Facility Name: JOURNEY HOSPICE SERVICES INC

Facility Address:
500 E OLIVE AVE STE 710
BURBANK, CA
ZIP 91501
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Facility Phone Number: 818 558-4300

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1144569617

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D2115715
LAB Type	Hospice
Facility Name	JOURNEY HOSPICE SERVICES INC
Street	500 E OLIVE AVE STE 710
City	BURBANK
State	CA
ZIP	91501
Phone	818 558-4300
CertificateType	4
CertificateEffectiveDate	7/12/2022
CertificateExpirationDate	7/11/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024