05D0687138 CLIA NUMBER - WELLSPACE HEALTH FLORIN COMMUNITY HEALTH CENTER

Laboratory Demographics

CLIA Number: 05D0687138

Facility Name: WELLSPACE HEALTH FLORIN COMMUNITY HEALTH CENTER

Facility Address:
4241 FLORIN RD STE 40
SACRAMENTO, CA
ZIP 95823
Get Directions

Facility Phone Number: 916 391-2229

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1720546724

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0687138
LAB Type	Federally Qualified Health Center
Facility Name	WELLSPACE HEALTH FLORIN COMMUNITY HEALTH CENTER
Street	4241 FLORIN RD STE 40
City	SACRAMENTO
State	CA
ZIP	95823
Phone	916 391-2229
CertificateType	4
CertificateEffectiveDate	2/14/2024
CertificateExpirationDate	2/13/2026
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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