05D1028096 CLIA NUMBER - NATOMAS FAMILY PRACTICE MEDICAL CORP

Laboratory Demographics

  • CLIA Code: 05D1028096
  • Facility Name: NATOMAS FAMILY PRACTICE MEDICAL CORP
  • Facility Address: 2410 DEL PASO ROAD
    SACRAMENTO, CA
    ZIP 95834
  • Facility Phone: 916 928-0856
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEVE D. HWANG
  • NPI Number: 1922195189
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1028096
LAB Type Physician Office
Facility Name NATOMAS FAMILY PRACTICE MEDICAL CORP
Street 2410 DEL PASO ROAD
City SACRAMENTO
State CA
ZIP 95834
Phone 916 928-0856
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 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director STEVE D. HWANG

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