05D0615410 CLIA NUMBER - ALVIN SOCKOLOV & RON SOCKOLOV

Laboratory Demographics

  • CLIA Code: 05D0615410
  • Facility Name: ALVIN SOCKOLOV & RON SOCKOLOV
  • Facility Address: 1 SCRIPPS DRIVE SUITE 202
    SACRAMENTO, CA
    ZIP 95825
  • Facility Phone: 916 927-1117
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD SOCKOLOV
  • NPI Number: 1821043753
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0615410
LAB Type Physician Office
Facility Name ALVIN SOCKOLOV & RON SOCKOLOV
Street 1 SCRIPPS DRIVE SUITE 202
City SACRAMENTO
State CA
ZIP 95825
Phone 916 927-1117
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 Physician Office
Lab Director RONALD SOCKOLOV

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This page was last updated on: 3/20/2025