05D0887198 CLIA NUMBER - TIMBERLAKE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 05D0887198
  • Facility Name: TIMBERLAKE PEDIATRICS
  • Facility Address: 8118 TIMBERLAKE WAY SUITE 230
    SACRAMENTO, CA
    ZIP 95823
  • Facility Phone: 916 688-3673
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANGELO J. NAZARENO
  • NPI Number: 1346499621
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D0887198
LAB Type Physician Office
Facility Name TIMBERLAKE PEDIATRICS
Street 8118 TIMBERLAKE WAY SUITE 230
City SACRAMENTO
State CA
ZIP 95823
Phone 916 688-3673
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Physician Office
Lab Director ANGELO J. NAZARENO

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