05D1033934 CLIA NUMBER - COMMUNITY HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D1033934
  • Facility Name: COMMUNITY HOSPICE INC
  • Facility Address: 4368 SPYRES WAY
    MODESTO, CA
    ZIP 95350
  • Facility Phone: 209 578-6300
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: PETER LAI MD
  • NPI Number: 1043326531
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D1033934
LAB Type Hospice
Facility Name COMMUNITY HOSPICE INC
Street 4368 SPYRES WAY
City MODESTO
State CA
ZIP 95350
Phone 209 578-6300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Hospice
Lab Director PETER LAI MD

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