05D2217029 CLIA NUMBER - BRIDGE HOSPICE SOLANO LLC

Laboratory Demographics

  • CLIA Code: 05D2217029
  • Facility Name: BRIDGE HOSPICE SOLANO LLC
  • Facility Address: 1261 TRAVIS BLVD STE 250
    FAIRFIELD, CA
    ZIP 94533
  • Facility Phone: 707 376-8118
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ANN BICH HUYEN NGUYEN-TRAXLER
  • NPI Number: 1205458148
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2217029
LAB Type Hospice
Facility Name BRIDGE HOSPICE SOLANO LLC
Street 1261 TRAVIS BLVD STE 250
City FAIRFIELD
State CA
ZIP 94533
Phone 707 376-8118
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2025
Certificate Expiration Date 3/16/2027
Facility Type Hospice
Lab Director ANN BICH HUYEN NGUYEN-TRAXLER

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