CLIA lab

CLIA 05D2034099: Green Valley Hospice, Inc.

Roseville, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 05D2034099 belongs to Green Valley Hospice, Inc. in Roseville, CA.

Certificate of Waiver, effective December 16, 2025, expires December 15, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
December 16, 2025
Certificate expiration
December 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 16, 2011
Facility type
Hospice
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
05D2034099
Lab name
Green Valley Hospice, Inc.
Address
3009 Douglas Blvd, Suite 160, Roseville, CA 95661
Phone
(916) 757-6818
Fax
(916) 781-1282

Annual test volume the lab reported

Waived tests
30

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Roseville, CA

Related

Questions

What is the CLIA number for Green Valley Hospice, Inc. in Roseville?

05D2034099, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Green Valley Hospice, Inc. hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 05D2034099 expire?

The CMS file lists December 15, 2027 as the certificate expiration date; the certificate took effect December 16, 2025.

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