05D2155534 CLIA NUMBER - MEDICAL ONE HEALTH-HOME HEALTH AGENCY & HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2155534
  • Facility Name: MEDICAL ONE HEALTH-HOME HEALTH AGENCY & HOSPICE
  • Facility Address: 3012 LONE TREE WAY SUITE 200
    ANTIOCH, CA
    ZIP 94509
  • Facility Phone: 925 436-3155
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TYRONE SNIPES MD
  • NPI Number: 1356810188
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2155534
LAB Type Home Health Agency
Facility Name MEDICAL ONE HEALTH-HOME HEALTH AGENCY & HOSPICE
Street 3012 LONE TREE WAY SUITE 200
City ANTIOCH
State CA
ZIP 94509
Phone 925 436-3155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Home Health Agency
Lab Director TYRONE SNIPES MD

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