05D2169981 CLIA NUMBER - CENTRAL VALLEY HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 05D2169981
  • Facility Name: CENTRAL VALLEY HOSPICE, INC
  • Facility Address: 605 STANDIFORD AVENUE SUITE K
    MODESTO, CA
    ZIP 95350
  • Facility Phone: 925 594-1122
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: EDWARD L. AUEN
  • NPI Number: 1124582937
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2169981
LAB Type Hospice
Facility Name CENTRAL VALLEY HOSPICE, INC
Street 605 STANDIFORD AVENUE SUITE K
City MODESTO
State CA
ZIP 95350
Phone 925 594-1122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Hospice
Lab Director EDWARD L. AUEN

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