05D2151799 CLIA NUMBER - TELECARE HOPE HOUSE CRISIS RESIDENTIAL PROGRAM

Laboratory Demographics

  • CLIA Code: 05D2151799
  • Facility Name: TELECARE HOPE HOUSE CRISIS RESIDENTIAL PROGRAM
  • Facility Address: 300 ILENE ST
    MARTINEZ, CA
    ZIP 94553
  • Facility Phone: 925 655-0567
  • Facility Type: Other - CRISIS RESIDENTIAL PROGRA
  • Facility Type: Waiver
  • Lab Director: MICHELLE AHN
  • NPI Number: 1669809083
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2151799
LAB Type Other - CRISIS RESIDENTIAL PROGRA
Facility Name TELECARE HOPE HOUSE CRISIS RESIDENTIAL PROGRAM
Street 300 ILENE ST
City MARTINEZ
State CA
ZIP 94553
Phone 925 655-0567
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Other - CRISIS RESIDENTIAL PROGRA
Lab Director MICHELLE AHN

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