05D2016846 CLIA NUMBER - WELLSPACE HEALTH SOUTH VALLEY COMMUNITY HEALTH CTR

Laboratory Demographics

  • CLIA Code: 05D2016846
  • Facility Name: WELLSPACE HEALTH SOUTH VALLEY COMMUNITY HEALTH CTR
  • Facility Address: 8233 E STOCKTON BLVD, STE D
    SACRAMENTO, CA
    ZIP 95828
  • Facility Phone: 916 368-3080
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. JANINE W. BERA
  • NPI Number: 1447332036
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2016846
LAB Type Federally Qualified Health Center
Facility Name WELLSPACE HEALTH SOUTH VALLEY COMMUNITY HEALTH CTR
Street 8233 E STOCKTON BLVD, STE D
City SACRAMENTO
State CA
ZIP 95828
Phone 916 368-3080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2025
Certificate Expiration Date 7/6/2027
Facility Type Federally Qualified Health Center
Lab Director DR. JANINE W. BERA

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