05D2311543 CLIA NUMBER - LIGHT BEAM HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2311543
  • Facility Name: LIGHT BEAM HOSPICE INC
  • Facility Address: 120 N VICTORY BLVD, SUITE #106
    BURBANK, CA
    ZIP 91502
  • Facility Phone: 818 290-3860
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LAILA HANNA
  • NPI Number: 1306461363
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2311543
LAB Type Hospice
Facility Name LIGHT BEAM HOSPICE INC
Street 120 N VICTORY BLVD, SUITE #106
City BURBANK
State CA
ZIP 91502
Phone 818 290-3860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2024
Certificate Expiration Date 9/23/2026
Facility Type Hospice
Lab Director LAILA HANNA

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