05D2271784 CLIA NUMBER - BLOOMING ROSE HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 05D2271784
  • Facility Name: BLOOMING ROSE HOSPICE, INC
  • Facility Address: 3089 N. LIMA ST. #C
    BURBANK, CA
    ZIP 91504
  • Facility Phone: 818 208-3066
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JILIN BAI
  • NPI Number: 1831715077
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2271784
LAB Type Hospice
Facility Name BLOOMING ROSE HOSPICE, INC
Street 3089 N. LIMA ST. #C
City BURBANK
State CA
ZIP 91504
Phone 818 208-3066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Hospice
Lab Director JILIN BAI

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