05D2155260 CLIA NUMBER - CITADEL & IVAN LLC, DBA HOSPICE OF THE VALLEY

Laboratory Demographics

  • CLIA Code: 05D2155260
  • Facility Name: CITADEL & IVAN LLC, DBA HOSPICE OF THE VALLEY
  • Facility Address: 5100 N. 6TH STREET STE 150
    FRESNO, CA
    ZIP 93710
  • Facility Phone: 559 227-7202
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: CITADEL CHAVEZ
  • NPI Number: 1982147492
  • Taxonomy: 251G00000X - Hospice Care, Community Based

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2155260
LAB Type Hospice
Facility Name CITADEL & IVAN LLC, DBA HOSPICE OF THE VALLEY
Street 5100 N. 6TH STREET STE 150
City FRESNO
State CA
ZIP 93710
Phone 559 227-7202
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Hospice
Lab Director CITADEL CHAVEZ

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