05D0936964 CLIA NUMBER - SACRAMENTO EYE SURGICENTER

Laboratory Demographics

  • CLIA Code: 05D0936964
  • Facility Name: SACRAMENTO EYE SURGICENTER
  • Facility Address: 3150 J STREET
    SACRAMENTO, CA
    ZIP 95816
  • Facility Phone: 916 444-7052
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JILL D. QUINN
  • NPI Number: 1881792596
  • Taxonomy: 261QS0132X - Clinic/Center

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Ambulatory Surgery Center
Lab Director JILL D. QUINN

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