05D2067012 CLIA NUMBER - SUNCREST HOSPICE SAN JOSE, LLC

Laboratory Demographics

  • CLIA Code: 05D2067012
  • Facility Name: SUNCREST HOSPICE SAN JOSE, LLC
  • Facility Address: 3215 SKYWAY COURT
    FREMONT, CA
    ZIP 94536
  • Facility Phone: 408 900-8838
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: EPIFANIO DELEON
  • NPI Number: 1124368808
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2067012
LAB Type Hospice
Facility Name SUNCREST HOSPICE SAN JOSE, LLC
Street 3215 SKYWAY COURT
City FREMONT
State CA
ZIP 94536
Phone 408 900-8838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2025
Certificate Expiration Date 10/6/2027
Facility Type Hospice
Lab Director EPIFANIO DELEON

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