05D0997895 CLIA NUMBER - ROSEVILLE SURGERY CENTER, LP

Laboratory Demographics

  • CLIA Code: 05D0997895
  • Facility Name: ROSEVILLE SURGERY CENTER, LP
  • Facility Address: 1420 E ROSEVILLE PARKWAY SUITE 100
    ROSEVILLE, CA
    ZIP 95661
  • Facility Phone: 916 677-2488
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRIAN C. JOVES MD
  • NPI Number: 1982672283
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0997895
LAB Type Ambulatory Surgery Center
Facility Name ROSEVILLE SURGERY CENTER, LP
Street 1420 E ROSEVILLE PARKWAY SUITE 100
City ROSEVILLE
State CA
ZIP 95661
Phone 916 677-2488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Ambulatory Surgery Center
Lab Director BRIAN C. JOVES MD

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