05D2296067 CLIA NUMBER - EVERETT HOME HEALTH

Laboratory Demographics

  • CLIA Code: 05D2296067
  • Facility Name: EVERETT HOME HEALTH
  • Facility Address: 3318 W BURBANK BLVD A
    BURBANK, CA
    ZIP 91505
  • Facility Phone: 747 336-3232
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ABDUL R. KHAN
  • NPI Number: 1174118178
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2296067
LAB Type Home Health Agency
Facility Name EVERETT HOME HEALTH
Street 3318 W BURBANK BLVD A
City BURBANK
State CA
ZIP 91505
Phone 747 336-3232
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Home Health Agency
Lab Director ABDUL R. KHAN

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