05D2155281 CLIA NUMBER - CONTINUUM CARE NORTHBAY, LLC DBA CONTINUUM HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2155281
  • Facility Name: CONTINUUM CARE NORTHBAY, LLC DBA CONTINUUM HOSPICE
  • Facility Address: 5401 OLD REDWOOD HWY STE 110
    PETALUMA, CA
    ZIP 94954
  • Facility Phone: 707 540-9838
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DR. SRI VARDHAN KOOTURU
  • NPI Number: 1649780685
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2155281
LAB Type Hospice
Facility Name CONTINUUM CARE NORTHBAY, LLC DBA CONTINUUM HOSPICE
Street 5401 OLD REDWOOD HWY STE 110
City PETALUMA
State CA
ZIP 94954
Phone 707 540-9838
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 DR. SRI VARDHAN KOOTURU

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