05D1105434 CLIA NUMBER - CLARA'S HOUSE

Laboratory Demographics

  • CLIA Code: 05D1105434
  • Facility Name: CLARA'S HOUSE
  • Facility Address: 2700 L STREET (UPSTAIRS)
    SACRAMENTO, CA
    ZIP 95816
  • Facility Phone: 916 448-3976
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: JOHN L. GISLA
  • NPI Number: 1013241835
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1105434
LAB Type Community Clinic
Facility Name CLARA'S HOUSE
Street 2700 L STREET (UPSTAIRS)
City SACRAMENTO
State CA
ZIP 95816
Phone 916 448-3976
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Community Clinic
Lab Director JOHN L. GISLA

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