05D2114558 CLIA NUMBER - SUNCREST HOSPICE SACRAMENTO LLC

Laboratory Demographics

  • CLIA Code: 05D2114558
  • Facility Name: SUNCREST HOSPICE SACRAMENTO LLC
  • Facility Address: 2210 DEL PASO RD, SUITE A
    SACRAMENTO, CA
    ZIP 95834
  • Facility Phone: 916 928-0102
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KEVIN KECK
  • NPI Number: 1144697608
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2114558
LAB Type Hospice
Facility Name SUNCREST HOSPICE SACRAMENTO LLC
Street 2210 DEL PASO RD, SUITE A
City SACRAMENTO
State CA
ZIP 95834
Phone 916 928-0102
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Hospice
Lab Director KEVIN KECK

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