05D0937737 CLIA NUMBER - WELLSPACE HEALTH DEL PASO HEIGHTS COMMUNITY HEALTH

Laboratory Demographics

  • CLIA Code: 05D0937737
  • Facility Name: WELLSPACE HEALTH DEL PASO HEIGHTS COMMUNITY HEALTH
  • Facility Address: 3441 MARYSVILLE BLVD
    SACRAMENTO, CA
    ZIP 95838
  • Facility Phone: 916 679-3925
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JANINE BERA
  • NPI Number: 1811455819
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0937737
LAB Type Federally Qualified Health Center
Facility Name WELLSPACE HEALTH DEL PASO HEIGHTS COMMUNITY HEALTH
Street 3441 MARYSVILLE BLVD
City SACRAMENTO
State CA
ZIP 95838
Phone 916 679-3925
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Federally Qualified Health Center
Lab Director JANINE BERA

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