05D2205717 CLIA NUMBER - SEQUOIA HOSPICE INC

Laboratory Demographics

  • CLIA Code: 05D2205717
  • Facility Name: SEQUOIA HOSPICE INC
  • Facility Address: 55 SHAW AVENUE SUITE 112
    CLOVIS, CA
    ZIP 93612
  • Facility Phone: 559 321-8054
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: AMITABH U. GOSWAMI
  • NPI Number: 1669021747
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2205717
LAB Type Hospice
Facility Name SEQUOIA HOSPICE INC
Street 55 SHAW AVENUE SUITE 112
City CLOVIS
State CA
ZIP 93612
Phone 559 321-8054
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2024
Certificate Expiration Date 12/14/2026
Facility Type Hospice
Lab Director AMITABH U. GOSWAMI

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