05D0911588 CLIA NUMBER - DIGNITY HEALTH MEDICAL FOUNDATION

Laboratory Demographics

CLIA Number: 05D0911588

Facility Name: DIGNITY HEALTH MEDICAL FOUNDATION

Facility Address:
8120 TIMBERLAKE WAY, STE 107
SACRAMENTO, CA
ZIP 95826
Get Directions

Facility Phone Number: 916 681-6000

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1912021163

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0911588
LAB Type	Physician Office
Facility Name	DIGNITY HEALTH MEDICAL FOUNDATION
Street	8120 TIMBERLAKE WAY, STE 107
City	SACRAMENTO
State	CA
ZIP	95826
Phone	916 681-6000
CertificateType	3
CertificateEffectiveDate	2/9/2024
CertificateExpirationDate	2/8/2026
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024