05D2296497 CLIA NUMBER - LA WELLNESS HOME INC.

Laboratory Demographics

  • CLIA Code: 05D2296497
  • Facility Name: LA WELLNESS HOME INC.
  • Facility Address: 428 NORTH LINCOLN STREET
    BURBANK, CA
    ZIP 91504
  • Facility Phone: 818 808-0108
  • Facility Type: Other - RESIDENTIAL DRUG AND ALCO
  • Facility Type: Waiver
  • Lab Director: JULIO MEZA
  • NPI Number: 1801518956
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2296497
LAB Type Other - RESIDENTIAL DRUG AND ALCO
Facility Name LA WELLNESS HOME INC.
Street 428 NORTH LINCOLN STREET
City BURBANK
State CA
ZIP 91504
Phone 818 808-0108
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2023
Certificate Expiration Date 12/28/2025
Facility Type Other - RESIDENTIAL DRUG AND ALCO
Lab Director JULIO MEZA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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