05D2306094 CLIA NUMBER - R AND A HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2306094
  • Facility Name: R AND A HOSPICE
  • Facility Address: 3 EAST 3RD AVE
    SAN MATEO, CA
    ZIP 94401
  • Facility Phone: 415 508-4342
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ABDELSALAM M. MOGASBE
  • NPI Number: 1154939791
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2306094
LAB Type Hospice
Facility Name R AND A HOSPICE
Street 3 EAST 3RD AVE
City SAN MATEO
State CA
ZIP 94401
Phone 415 508-4342
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2024
Certificate Expiration Date 6/10/2026
Facility Type Hospice
Lab Director ABDELSALAM M. MOGASBE

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