05D1015462 CLIA NUMBER - SALUD CLINIC

Laboratory Demographics

  • CLIA Code: 05D1015462
  • Facility Name: SALUD CLINIC
  • Facility Address: 500 B JEFFERSON BLVD STE 180
    WEST SACRAMENTO, CA
    ZIP 95605
  • Facility Phone: 530 285-3216
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: WETONA S. EIDSON-TON MD
  • NPI Number: 1700246360
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D1015462
LAB Type Community Clinic
Facility Name SALUD CLINIC
Street 500 B JEFFERSON BLVD STE 180
City WEST SACRAMENTO
State CA
ZIP 95605
Phone 530 285-3216
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Community Clinic
Lab Director WETONA S. EIDSON-TON MD

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