05D2229936 CLIA NUMBER - GOLD STAR HOSPICE LLC

Laboratory Demographics

  • CLIA Code: 05D2229936
  • Facility Name: GOLD STAR HOSPICE LLC
  • Facility Address: 830 STEWART DR
    SUNNYVALE, CA
    ZIP 94085
  • Facility Phone: 650 814-0056
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: KASHIF ABDULLAH
  • NPI Number: 1396321444
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2229936
LAB Type Hospice
Facility Name GOLD STAR HOSPICE LLC
Street 830 STEWART DR
City SUNNYVALE
State CA
ZIP 94085
Phone 650 814-0056
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Hospice
Lab Director KASHIF ABDULLAH

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