05D2189120 CLIA NUMBER - ATRIUM HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 05D2189120
  • Facility Name: ATRIUM HOSPICE LLC
  • Facility Address: 144 CONTINENTE AVE STE 130
    BRENTWOOD, CA
    ZIP 94513
  • Facility Phone: 925 684-4087
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DAVID M. LEE
  • NPI Number: 1871132613
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2189120
LAB Type Hospice
Facility Name ATRIUM HOSPICE LLC
Street 144 CONTINENTE AVE STE 130
City BRENTWOOD
State CA
ZIP 94513
Phone 925 684-4087
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2024
Certificate Expiration Date 7/26/2026
Facility Type Hospice
Lab Director DAVID M. LEE

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