05D2162741 CLIA NUMBER - BRIDGE HOSPICE CENTRAL COAST LLC

Laboratory Demographics

  • CLIA Code: 05D2162741
  • Facility Name: BRIDGE HOSPICE CENTRAL COAST LLC
  • Facility Address: 6 QUAIL RUN CIRCLE, SUITE 103
    SALINAS, CA
    ZIP 93907
  • Facility Phone: 831 216-5585
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: VIVEK A. RUDRAPATNA DO
  • NPI Number: 1710479233
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2162741
LAB Type Hospice
Facility Name BRIDGE HOSPICE CENTRAL COAST LLC
Street 6 QUAIL RUN CIRCLE, SUITE 103
City SALINAS
State CA
ZIP 93907
Phone 831 216-5585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Hospice
Lab Director VIVEK A. RUDRAPATNA DO

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