05D2194652 CLIA NUMBER - GRACE AND GLORY HOSPICE, INC

Laboratory Demographics

  • CLIA Code: 05D2194652
  • Facility Name: GRACE AND GLORY HOSPICE, INC
  • Facility Address: 101 WALDIE PLAZA SUITE 11
    ANTIOCH, CA
    ZIP 94509
  • Facility Phone: 650 898-5784
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ROBERT CUFF
  • NPI Number: 1811552680
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2194652
LAB Type Hospice
Facility Name GRACE AND GLORY HOSPICE, INC
Street 101 WALDIE PLAZA SUITE 11
City ANTIOCH
State CA
ZIP 94509
Phone 650 898-5784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Hospice
Lab Director ROBERT CUFF

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