05D0956665 CLIA NUMBER - MADRONE HOSPICE

Laboratory Demographics

  • CLIA Code: 05D0956665
  • Facility Name: MADRONE HOSPICE
  • Facility Address: 255 COLLIER CIRCLE
    YREKA, CA
    ZIP 96097
  • Facility Phone: 530 842-3160
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: BRUCE RIGER MD
  • NPI Number: 1275608614
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D0956665
LAB Type Hospice
Facility Name MADRONE HOSPICE
Street 255 COLLIER CIRCLE
City YREKA
State CA
ZIP 96097
Phone 530 842-3160
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Hospice
Lab Director BRUCE RIGER MD

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