05D2160372 CLIA NUMBER - OAK CREEK HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 05D2160372
  • Facility Name: OAK CREEK HOSPICE LLC
  • Facility Address: 9580 OAK AVE PKWY, STE 15
    FOLSOM, CA
    ZIP 95630
  • Facility Phone: 916 458-5994
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: HARKESH S. SANDHU
  • NPI Number: 1174033393
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2160372
LAB Type Hospice
Facility Name OAK CREEK HOSPICE LLC
Street 9580 OAK AVE PKWY, STE 15
City FOLSOM
State CA
ZIP 95630
Phone 916 458-5994
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Hospice
Lab Director HARKESH S. SANDHU

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