05D0697386 CLIA NUMBER - WELLSPACE HEALTH J STREET COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D0697386
  • Facility Name: WELLSPACE HEALTH J STREET COMMUNITY HEALTH CENTER
  • Facility Address: 1820 J STREET
    SACRAMENTO, CA
    ZIP 95811
  • Facility Phone: 916 737-5555
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JANINE BERA MD
  • NPI Number: 1215350848
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0697386
LAB Type Federally Qualified Health Center
Facility Name WELLSPACE HEALTH J STREET COMMUNITY HEALTH CENTER
Street 1820 J STREET
City SACRAMENTO
State CA
ZIP 95811
Phone 916 737-5555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Federally Qualified Health Center
Lab Director JANINE BERA MD

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