05D0880358 CLIA NUMBER - SUTTER VISITING NURSE ASSOCIATION AND HOSPICE

Laboratory Demographics

  • CLIA Code: 05D0880358
  • Facility Name: SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
  • Facility Address: 1025 ATLANTIC AVE STE 100
    ALAMEDA, CA
    ZIP 94501
  • Facility Phone: 707 864-4840
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DR. KEITH LAGNESE
  • NPI Number: 1124053558
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D0880358
LAB Type Home Health Agency
Facility Name SUTTER VISITING NURSE ASSOCIATION AND HOSPICE
Street 1025 ATLANTIC AVE STE 100
City ALAMEDA
State CA
ZIP 94501
Phone 707 864-4840
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/22/2024
Certificate Expiration Date 11/21/2026
Facility Type Home Health Agency
Lab Director DR. KEITH LAGNESE

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