05D0996760 CLIA NUMBER - SUTTER VALLEY MEDICAL FOUNDATION-SPECIALTY

Laboratory Demographics

  • CLIA Code: 05D0996760
  • Facility Name: SUTTER VALLEY MEDICAL FOUNDATION-SPECIALTY
  • Facility Address: 2700 GATEWAY OAKS DR, SUITE 2200
    SACRAMENTO, CA
    ZIP 95833
  • Facility Phone: 209 497-2199
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID SEIDENWURM
  • NPI Number: 1821442864
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0996760
LAB Type Physician Office
Facility Name SUTTER VALLEY MEDICAL FOUNDATION-SPECIALTY
Street 2700 GATEWAY OAKS DR, SUITE 2200
City SACRAMENTO
State CA
ZIP 95833
Phone 209 497-2199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Physician Office
Lab Director DAVID SEIDENWURM

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