05D2091562 CLIA NUMBER - CONTINUUM CARE HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 05D2091562
  • Facility Name: CONTINUUM CARE HOSPICE LLC
  • Facility Address: 1001 GALAXY WAY, STE 206
    CONCORD, CA
    ZIP 94520
  • Facility Phone: 510 560-2112
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SRI VARDAHN KOOTURU
  • NPI Number: 1467859900
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2091562
LAB Type Hospice
Facility Name CONTINUUM CARE HOSPICE LLC
Street 1001 GALAXY WAY, STE 206
City CONCORD
State CA
ZIP 94520
Phone 510 560-2112
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/17/2025
Certificate Expiration Date 2/16/2027
Facility Type Hospice
Lab Director SRI VARDAHN KOOTURU

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