05D2179987 CLIA NUMBER - CRYSTAL HEALTH SERVICES INC

Laboratory Demographics

  • CLIA Code: 05D2179987
  • Facility Name: CRYSTAL HEALTH SERVICES INC
  • Facility Address: 3504 WEST MAGNOLIA BLVD SUITE 3
    BURBANK, CA
    ZIP 91505
  • Facility Phone: 818 294-0752
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KENNETH BLEIFER
  • NPI Number: 1639711930
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2179987
LAB Type Home Health Agency
Facility Name CRYSTAL HEALTH SERVICES INC
Street 3504 WEST MAGNOLIA BLVD SUITE 3
City BURBANK
State CA
ZIP 91505
Phone 818 294-0752
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Home Health Agency
Lab Director KENNETH BLEIFER

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