05D0881549 CLIA NUMBER - WELLSPACE HEALTH SUNRISE COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D0881549
  • Facility Name: WELLSPACE HEALTH SUNRISE COMMUNITY HEALTH CENTER
  • Facility Address: 7777 SUNRISE BLVD
    CITRUS HEIGHTS, CA
    ZIP 95610
  • Facility Phone: 916 722-2227
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JANINE BERA
  • NPI Number: 1730643990
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0881549
LAB Type Federally Qualified Health Center
Facility Name WELLSPACE HEALTH SUNRISE COMMUNITY HEALTH CENTER
Street 7777 SUNRISE BLVD
City CITRUS HEIGHTS
State CA
ZIP 95610
Phone 916 722-2227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/7/2024
Certificate Expiration Date 10/6/2026
Facility Type Federally Qualified Health Center
Lab Director JANINE BERA

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