05D2219796 CLIA NUMBER - BUENA VISTA HOSPICE DBA ANESI HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2219796
  • Facility Name: BUENA VISTA HOSPICE DBA ANESI HOSPICE
  • Facility Address: 146 N SAN FERNANDO BLVD, STE 208
    BURBANK, CA
    ZIP 91502
  • Facility Phone: 818 736-5555
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ASHWANI BHARDWAJ
  • NPI Number: 1093324725
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2219796
LAB Type Hospice
Facility Name BUENA VISTA HOSPICE DBA ANESI HOSPICE
Street 146 N SAN FERNANDO BLVD, STE 208
City BURBANK
State CA
ZIP 91502
Phone 818 736-5555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2025
Certificate Expiration Date 4/6/2027
Facility Type Hospice
Lab Director ASHWANI BHARDWAJ

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