05D1089789 CLIA NUMBER - CAREMERIDIAN-ELK GROVE

Laboratory Demographics

  • CLIA Code: 05D1089789
  • Facility Name: CAREMERIDIAN-ELK GROVE
  • Facility Address: ATTN ADMINISTRATION / DON 7601 JACINTO ROAD
    ELK GROVE, CA
    ZIP 95758
  • Facility Phone: 916 688-3830
  • Facility Type: Other - CONGREGATE LIVING HLTH FA
  • Facility Type: Waiver
  • Lab Director: LARRY FELICIANO
  • NPI Number: 1447397245
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D1089789
LAB Type Other - CONGREGATE LIVING HLTH FA
Facility Name CAREMERIDIAN-ELK GROVE
Street ATTN ADMINISTRATION / DON 7601 JACINTO ROAD
City ELK GROVE
State CA
ZIP 95758
Phone 916 688-3830
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Other - CONGREGATE LIVING HLTH FA
Lab Director LARRY FELICIANO

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