05D0613463 CLIA NUMBER - SIERRA HEMATOLOGY & ONCOLOGY

Laboratory Demographics

CLIA Number: 05D0613463

Facility Name: SIERRA HEMATOLOGY & ONCOLOGY

Facility Address:
6555 COYLE AVE STE 301
CARMICHAEL, CA
ZIP 95608
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Facility Phone Number: 916 962-1544

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1992796759

Taxonomy: 207RH0003X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

CLIA Record

Field Name	Field Value
CLIA Number	05D0613463
LAB Type	Physician Office
Facility Name	SIERRA HEMATOLOGY & ONCOLOGY
Street	6555 COYLE AVE STE 301
City	CARMICHAEL
State	CA
ZIP	95608
Phone	916 962-1544
CertificateType	2
CertificateEffectiveDate	11/28/2020
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024