05D2308916 CLIA NUMBER - ACTIVE LIGHT HOSPICE, INC.

Laboratory Demographics

  • CLIA Code: 05D2308916
  • Facility Name: ACTIVE LIGHT HOSPICE, INC.
  • Facility Address: 303 N GLENOAKS BLVD SUITE 245
    BURBANK, CA
    ZIP 91502
  • Facility Phone: 661 505-8907
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CHIRAG B. BHAVSAR
  • NPI Number: 1710599261
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2308916
LAB Type Hospice
Facility Name ACTIVE LIGHT HOSPICE, INC.
Street 303 N GLENOAKS BLVD SUITE 245
City BURBANK
State CA
ZIP 91502
Phone 661 505-8907
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Hospice
Lab Director CHIRAG B. BHAVSAR

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