05D2313747 CLIA NUMBER - AVALON WOUND CARE INC

Laboratory Demographics

  • CLIA Code: 05D2313747
  • Facility Name: AVALON WOUND CARE INC
  • Facility Address: 4001 W ALAMEDA AVE SUITE 100
    BURBANK, CA
    ZIP 91505
  • Facility Phone: 818 588-3300
  • Facility Type: Other - WOUND CARE
  • Facility Type: Waiver
  • Lab Director: RAJIV H. BHUVA
  • NPI Number: 1972354959
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2313747
LAB Type Other - WOUND CARE
Facility Name AVALON WOUND CARE INC
Street 4001 W ALAMEDA AVE SUITE 100
City BURBANK
State CA
ZIP 91505
Phone 818 588-3300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Other - WOUND CARE
Lab Director RAJIV H. BHUVA

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