05D0614355 CLIA NUMBER - ROSEVILLE CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0614355
  • Facility Name: ROSEVILLE CARE CENTER
  • Facility Address: 1161 CIRBY WAY
    ROSEVILLE, CA
    ZIP 95661
  • Facility Phone: 916 782-1238
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: CHANDAN CHEEMA
  • NPI Number: 1871891929
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0614355
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ROSEVILLE CARE CENTER
Street 1161 CIRBY WAY
City ROSEVILLE
State CA
ZIP 95661
Phone 916 782-1238
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director CHANDAN CHEEMA

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