05D2292001 CLIA NUMBER - MY PLACE ADHC

Laboratory Demographics

  • CLIA Code: 05D2292001
  • Facility Name: MY PLACE ADHC
  • Facility Address: 1809 W MAGNOLIA BLVD
    BURBANK, CA
    ZIP 91506
  • Facility Phone: 818 231-0627
  • Facility Type: Other - ADULT DAY HEALTH CARE
  • Facility Type: Waiver
  • Lab Director: HANI BENYAMIN
  • NPI Number: 1366138497
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2292001
LAB Type Other - ADULT DAY HEALTH CARE
Facility Name MY PLACE ADHC
Street 1809 W MAGNOLIA BLVD
City BURBANK
State CA
ZIP 91506
Phone 818 231-0627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Other - ADULT DAY HEALTH CARE
Lab Director HANI BENYAMIN

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