05D0987847 CLIA NUMBER - ALTAMEDIX ADHC DAY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D0987847
  • Facility Name: ALTAMEDIX ADHC DAY HEALTH CENTER
  • Facility Address: 4234 NORTH FREEWAY BLVD #500
    SACRAMENTO, CA
    ZIP 95834
  • Facility Phone: 916 648-3999
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: PAVEL POLSKIY
  • NPI Number: 1306051032
  • Taxonomy: 261QA0600X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0987847
LAB Type Other
Facility Name ALTAMEDIX ADHC DAY HEALTH CENTER
Street 4234 NORTH FREEWAY BLVD #500
City SACRAMENTO
State CA
ZIP 95834
Phone 916 648-3999
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/14/2025
Certificate Expiration Date 6/13/2027
Facility Type Other
Lab Director PAVEL POLSKIY

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