05D1088713 CLIA NUMBER - CAPITAL OB/GYN

Laboratory Demographics

  • CLIA Code: 05D1088713
  • Facility Name: CAPITAL OB/GYN
  • Facility Address: 2101 STONE BLVD, SUITE 110
    WEST SACRAMENTO, CA
    ZIP 95691
  • Facility Phone: 916 920-2082
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS E. MELCHIONE, MD
  • NPI Number: 1730136680
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D1088713
LAB Type Physician Office
Facility Name CAPITAL OB/GYN
Street 2101 STONE BLVD, SUITE 110
City WEST SACRAMENTO
State CA
ZIP 95691
Phone 916 920-2082
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Physician Office
Lab Director THOMAS E. MELCHIONE, MD

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