05D2211452 CLIA NUMBER - SILVERADO SUPPORTIVE CARE AND HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2211452
  • Facility Name: SILVERADO SUPPORTIVE CARE AND HOSPICE
  • Facility Address: 5471 KEARNEY VILLA RD STE 300
    SAN DIEGO, CA
    ZIP 92123
  • Facility Phone: 858 565-1005
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LOREN NOVAK
  • NPI Number: 1386786150
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2211452
LAB Type Hospice
Facility Name SILVERADO SUPPORTIVE CARE AND HOSPICE
Street 5471 KEARNEY VILLA RD STE 300
City SAN DIEGO
State CA
ZIP 92123
Phone 858 565-1005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Hospice
Lab Director LOREN NOVAK

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