05D2164166 CLIA NUMBER - GIMAG CORP DBA GIMAG HOSPICE & PALLIATIVE CARE

Laboratory Demographics

  • CLIA Code: 05D2164166
  • Facility Name: GIMAG CORP DBA GIMAG HOSPICE & PALLIATIVE CARE
  • Facility Address: 4047 FIRST STREET, SUITE 205
    LIVERMORE, CA
    ZIP 94551
  • Facility Phone: 925 273-7700
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DOUGLAS FOLSOM
  • NPI Number: 1497989776
  • Taxonomy: 332BX2000X - Durable Medical Equipment & Medical Supplies

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CLIA Record

Field Name Field Value
CLIA Number 05D2164166
LAB Type Hospice
Facility Name GIMAG CORP DBA GIMAG HOSPICE & PALLIATIVE CARE
Street 4047 FIRST STREET, SUITE 205
City LIVERMORE
State CA
ZIP 94551
Phone 925 273-7700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2025
Certificate Expiration Date 3/28/2027
Facility Type Hospice
Lab Director DOUGLAS FOLSOM

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