05D1073866 CLIA NUMBER - RAINBOW CHILDREN'S CLINIC

Laboratory Demographics

  • CLIA Code: 05D1073866
  • Facility Name: RAINBOW CHILDREN'S CLINIC
  • Facility Address: 6508 LONETREE BLVD, SUITE 103
    ROCKLIN, CA
    ZIP 95765
  • Facility Phone: 916 771-5533
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAOUL B. DEL MAR, MD
  • NPI Number: 1144424409
  • Taxonomy: 2080A0000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1073866
LAB Type Physician Office
Facility Name RAINBOW CHILDREN'S CLINIC
Street 6508 LONETREE BLVD, SUITE 103
City ROCKLIN
State CA
ZIP 95765
Phone 916 771-5533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Physician Office
Lab Director RAOUL B. DEL MAR, MD

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