05D1019168 CLIA NUMBER - SPECIALIZED DAYCARE SERVICES INC DBA MY FRIENDS 11

Laboratory Demographics

  • CLIA Code: 05D1019168
  • Facility Name: SPECIALIZED DAYCARE SERVICES INC DBA MY FRIENDS 11
  • Facility Address: 3151 DWIGHT ROAD SUITE 400
    ELK GROVE, CA
    ZIP 95758
  • Facility Phone: 916 987-8632
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JON DRESSER MD
  • NPI Number: 1487225983
  • Taxonomy: 385HR2065X - Respite Care

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CLIA Record

Field Name Field Value
CLIA Number 05D1019168
LAB Type Other
Facility Name SPECIALIZED DAYCARE SERVICES INC DBA MY FRIENDS 11
Street 3151 DWIGHT ROAD SUITE 400
City ELK GROVE
State CA
ZIP 95758
Phone 916 987-8632
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Other
Lab Director JON DRESSER MD

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