05D0719292 CLIA NUMBER - JONG L CHEN MD INC

Laboratory Demographics

  • CLIA Code: 05D0719292
  • Facility Name: JONG L CHEN MD INC
  • Facility Address: 3941 J ST STE 250
    SACRAMENTO, CA
    ZIP 95819
  • Facility Phone: 916 733-6812
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JONG L. CHEN MD
  • NPI Number: 1346313228
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0719292
LAB Type Physician Office
Facility Name JONG L CHEN MD INC
Street 3941 J ST STE 250
City SACRAMENTO
State CA
ZIP 95819
Phone 916 733-6812
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2023
Certificate Expiration Date 10/9/2025
Facility Type Physician Office
Lab Director JONG L. CHEN MD

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