05D2074312 CLIA NUMBER - R.C. HOSPICE CARE INC

Laboratory Demographics

  • CLIA Code: 05D2074312
  • Facility Name: R.C. HOSPICE CARE INC
  • Facility Address: 3043 GOLD CANAL DR, STE 220
    RANCHO CORDOVA, CA
    ZIP 95670
  • Facility Phone: 916 858-1440
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: HUSSAM KUJOK
  • NPI Number: 1508119090
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2074312
LAB Type Hospice
Facility Name R.C. HOSPICE CARE INC
Street 3043 GOLD CANAL DR, STE 220
City RANCHO CORDOVA
State CA
ZIP 95670
Phone 916 858-1440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Hospice
Lab Director HUSSAM KUJOK

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