05D0942999 CLIA NUMBER - ROSEVILLE FAMILY HEALTHCARE

Laboratory Demographics

  • CLIA Code: 05D0942999
  • Facility Name: ROSEVILLE FAMILY HEALTHCARE
  • Facility Address: 680 SUNRISE AVE
    ROSEVILLE, CA
    ZIP 95661
  • Facility Phone: 916 786-4700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOE Y. KELADA, MD
  • NPI Number: 1255582706
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0942999
LAB Type Physician Office
Facility Name ROSEVILLE FAMILY HEALTHCARE
Street 680 SUNRISE AVE
City ROSEVILLE
State CA
ZIP 95661
Phone 916 786-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Physician Office
Lab Director JOE Y. KELADA, MD

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