05D2326091 CLIA NUMBER - LIFEHOUSE HEALTHCARE INC

Laboratory Demographics

  • CLIA Code: 05D2326091
  • Facility Name: LIFEHOUSE HEALTHCARE INC
  • Facility Address: 3607 W MAGNOLIA BLVD STE 8
    BURBANK, CA
    ZIP 91505
  • Facility Phone: 213 623-2072
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JACK AZAD
  • NPI Number: 1881361038
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2326091
LAB Type Home Health Agency
Facility Name LIFEHOUSE HEALTHCARE INC
Street 3607 W MAGNOLIA BLVD STE 8
City BURBANK
State CA
ZIP 91505
Phone 213 623-2072
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2025
Certificate Expiration Date 6/25/2027
Facility Type Home Health Agency
Lab Director JACK AZAD

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