05D0687138 CLIA NUMBER - WELLSPACE HEALTH FLORIN COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D0687138
  • Facility Name: WELLSPACE HEALTH FLORIN COMMUNITY HEALTH CENTER
  • Facility Address: 4241 FLORIN RD STE 40
    SACRAMENTO, CA
    ZIP 95823
  • Facility Phone: 916 391-2229
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JANINE BERA, MD
  • NPI Number: 1720546724
  • Taxonomy: 261QF0400X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2024
Certificate Expiration Date 2/13/2026
Facility Type Federally Qualified Health Center
Lab Director JANINE BERA, MD

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