05D2316238 CLIA NUMBER - MERCED HOSPICE INC DBA FRESNO HOSPICE

Laboratory Demographics

  • CLIA Code: 05D2316238
  • Facility Name: MERCED HOSPICE INC DBA FRESNO HOSPICE
  • Facility Address: 7541 N REMINGTON #105
    FRESNO, CA
    ZIP 93711
  • Facility Phone: 559 550-3444
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: STEPHEN GROSSMAN
  • NPI Number: 1912510470
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2316238
LAB Type Hospice
Facility Name MERCED HOSPICE INC DBA FRESNO HOSPICE
Street 7541 N REMINGTON #105
City FRESNO
State CA
ZIP 93711
Phone 559 550-3444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Hospice
Lab Director STEPHEN GROSSMAN

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