05D0885305 CLIA NUMBER - HAYNE Y KELADA MD

Laboratory Demographics

  • CLIA Code: 05D0885305
  • Facility Name: HAYNE Y KELADA MD
  • Facility Address: 1000 CAMERADO DR
    CAMERON PARK, CA
    ZIP 95682
  • Facility Phone: 916 677-3688
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAYNE Y. KELADA
  • NPI Number: 1417051749
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0885305
LAB Type Physician Office
Facility Name HAYNE Y KELADA MD
Street 1000 CAMERADO DR
City CAMERON PARK
State CA
ZIP 95682
Phone 916 677-3688
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2025
Certificate Expiration Date 9/5/2027
Facility Type Physician Office
Lab Director HAYNE Y. KELADA

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