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05D2162103 CLIA NUMBER - ODYSSEY HEALTHCARE OPERATING DBA KINDRED HOSPICE

Laboratory Demographics

CLIA Number: 05D2162103

Facility Name: ODYSSEY HEALTHCARE OPERATING DBA KINDRED HOSPICE

Facility Address:
4120 DUBLIN BOULEVARD, SUITE 105
DUBLIN, CA
ZIP 94568
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Facility Phone Number: 925 737-0203

Facility Type: Hospice

Certificate Type: Waiver
NPI Number: 1558977942

Taxonomy: 207RH0002X - Internal Medicine
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

CLIA Record

Field Name Field Value
CLIA Number 05D2162103
LAB Type Hospice
Facility Name ODYSSEY HEALTHCARE OPERATING DBA KINDRED HOSPICE
Street 4120 DUBLIN BOULEVARD, SUITE 105
City DUBLIN
State CA
ZIP 94568
Phone 925 737-0203
CertificateType 4
CertificateEffectiveDate 2/15/2023
CertificateExpirationDate 2/14/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024