05D0936964 CLIA NUMBER - SACRAMENTO EYE SURGICENTER

Laboratory Demographics

CLIA Number: 05D0936964

Facility Name: SACRAMENTO EYE SURGICENTER

Facility Address:
3150 J STREET
SACRAMENTO, CA
ZIP 95816
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Facility Phone Number: 916 444-7052

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver

NPI Number: 1881792596

Taxonomy: 261QS0132X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0936964
LAB Type	Ambulatory Surgery Center
Facility Name	SACRAMENTO EYE SURGICENTER
Street	3150 J STREET
City	SACRAMENTO
State	CA
ZIP	95816
Phone	916 444-7052
CertificateType	4
CertificateEffectiveDate	12/4/2023
CertificateExpirationDate	12/3/2025
FacilityType	Waiver

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