05D2148020 CLIA NUMBER - MOONLIGHT HOME HEALTH CARE INC

Laboratory Demographics

  • CLIA Code: 05D2148020
  • Facility Name: MOONLIGHT HOME HEALTH CARE INC
  • Facility Address: 348 E OLIVE AVE STE K
    BURBANK, CA
    ZIP 91502
  • Facility Phone: 818 429-0797
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: SIDDIQUI FAREEHA
  • NPI Number: 1205297314
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2148020
LAB Type Home Health Agency
Facility Name MOONLIGHT HOME HEALTH CARE INC
Street 348 E OLIVE AVE STE K
City BURBANK
State CA
ZIP 91502
Phone 818 429-0797
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Home Health Agency
Lab Director SIDDIQUI FAREEHA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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