05D1088954 CLIA NUMBER - COVENANTCARE AT HOME

Laboratory Demographics

  • CLIA Code: 05D1088954
  • Facility Name: COVENANTCARE AT HOME
  • Facility Address: 125 N BROADWAY AVE STE 1B
    TURLOCK, CA
    ZIP 95380
  • Facility Phone: 209 250-5200
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: RAFAEL SORIA
  • NPI Number: 1538251525
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1088954
LAB Type Home Health Agency
Facility Name COVENANTCARE AT HOME
Street 125 N BROADWAY AVE STE 1B
City TURLOCK
State CA
ZIP 95380
Phone 209 250-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/9/2025
Certificate Expiration Date 8/8/2027
Facility Type Home Health Agency
Lab Director RAFAEL SORIA

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