05D1075087 CLIA NUMBER - TRINITY HOME HEALTH SERVICES DBA SAINT AGNES HOME HEALTH AND HOSPICE

Laboratory Demographics

  • CLIA Code: 05D1075087
  • Facility Name: TRINITY HOME HEALTH SERVICES DBA SAINT AGNES HOME HEALTH AND HOSPICE
  • Facility Address: 6729 NORTH WILLOW AVE
    FRESNO, CA
    ZIP 93710
  • Facility Phone: 559 450-5600
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DUC M. CHUNG
  • NPI Number: 1750478293
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D1075087
LAB Type Hospice
Facility Name TRINITY HOME HEALTH SERVICES DBA SAINT AGNES HOME HEALTH AND HOSPICE
Street 6729 NORTH WILLOW AVE
City FRESNO
State CA
ZIP 93710
Phone 559 450-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Hospice
Lab Director DUC M. CHUNG

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