05D1088955 CLIA NUMBER - CAREMERIDIAN - GRANITE BAY

Laboratory Demographics

  • CLIA Code: 05D1088955
  • Facility Name: CAREMERIDIAN - GRANITE BAY
  • Facility Address: 7150 SIERRA PONDS LANE
    GRANITE BAY, CA
    ZIP 95746
  • Facility Phone: 916 772-2990
  • Facility Type: Other - CLFH
  • Facility Type: Waiver
  • Lab Director: ANTHONY ALLEN
  • NPI Number: 1487815825
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D1088955
LAB Type Other - CLFH
Facility Name CAREMERIDIAN - GRANITE BAY
Street 7150 SIERRA PONDS LANE
City GRANITE BAY
State CA
ZIP 95746
Phone 916 772-2990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Other - CLFH
Lab Director ANTHONY ALLEN

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