05D1035319 CLIA NUMBER - DIGNITY HEALTH DBA MERCY HOSPICE

Laboratory Demographics

  • CLIA Code: 05D1035319
  • Facility Name: DIGNITY HEALTH DBA MERCY HOSPICE
  • Facility Address: 3400 DATA DRIVE
    RANCHO CORDOVA, CA
    ZIP 95670
  • Facility Phone: 916 281-2323
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JAGMOHAN KHAIRA
  • NPI Number: 1417997925
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1035319
LAB Type Hospice
Facility Name DIGNITY HEALTH DBA MERCY HOSPICE
Street 3400 DATA DRIVE
City RANCHO CORDOVA
State CA
ZIP 95670
Phone 916 281-2323
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Hospice
Lab Director JAGMOHAN KHAIRA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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