05D1046305 CLIA NUMBER - EASTERN MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 05D1046305
  • Facility Name: EASTERN MEDICAL CENTER
  • Facility Address: 2930 EASTERN AVENUE
    SACRAMENTO, CA
    ZIP 95821
  • Facility Phone: 916 972-8966
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LI LI, MD
  • NPI Number: 1215020508
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1046305
LAB Type Physician Office
Facility Name EASTERN MEDICAL CENTER
Street 2930 EASTERN AVENUE
City SACRAMENTO
State CA
ZIP 95821
Phone 916 972-8966
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/26/2025
Certificate Expiration Date 3/25/2027
Facility Type Physician Office
Lab Director LI LI, MD

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