CLIA lab

CLIA 05D2286862: Ivy Park at Burbank

Burbank, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2286862 belongs to Ivy Park at Burbank in Burbank, CA.

Certificate of Waiver, effective August 4, 2025, expires August 3, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
August 4, 2025
Certificate expiration
August 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 4, 2023
Facility type
Assisted living facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2286862
Lab name
Ivy Park at Burbank
Address
2721 W Willow St, Burbank, CA 91505
Phone
(530) 227-5738

Annual test volume the lab reported

Waived tests
1,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Ivy Park at Burbank in Burbank?

05D2286862, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ivy Park at Burbank hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2286862 expire?

The CMS file lists August 3, 2027 as the certificate expiration date; the certificate took effect August 4, 2025.

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