05D2314335 CLIA NUMBER - PRUDENCE HOME HEALTH, INC

Laboratory Demographics

  • CLIA Code: 05D2314335
  • Facility Name: PRUDENCE HOME HEALTH, INC
  • Facility Address: 1924 W OLIVE AVE
    BURBANK, CA
    ZIP 91506
  • Facility Phone: 818 208-0070
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ARUTYUN TOPSAKALYAN
  • NPI Number: 1962963470
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2314335
LAB Type Home Health Agency
Facility Name PRUDENCE HOME HEALTH, INC
Street 1924 W OLIVE AVE
City BURBANK
State CA
ZIP 91506
Phone 818 208-0070
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/18/2024
Certificate Expiration Date 11/17/2026
Facility Type Home Health Agency
Lab Director ARUTYUN TOPSAKALYAN

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