05D2238840 CLIA NUMBER - INTERNAL LIFE HOME HEALTH, INC.

Laboratory Demographics

  • CLIA Code: 05D2238840
  • Facility Name: INTERNAL LIFE HOME HEALTH, INC.
  • Facility Address: 7590 N. GLENOAKS BLVD., STE 20
    BURBANK, CA
    ZIP 91504
  • Facility Phone: 818 306-3005
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: GILBERT FAUSTINA
  • NPI Number: 1689349110
  • Taxonomy: 163WH0200X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 05D2238840
LAB Type Home Health Agency
Facility Name INTERNAL LIFE HOME HEALTH, INC.
Street 7590 N. GLENOAKS BLVD., STE 20
City BURBANK
State CA
ZIP 91504
Phone 818 306-3005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2023
Certificate Expiration Date 10/5/2025
Facility Type Home Health Agency
Lab Director GILBERT FAUSTINA

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