05D2018293 CLIA NUMBER - C O R E MEDICAL CLINIC, INC

Laboratory Demographics

  • CLIA Code: 05D2018293
  • Facility Name: C O R E MEDICAL CLINIC, INC
  • Facility Address: 2100 CAPITOL AVE
    SACRAMENTO, CA
    ZIP 95816
  • Facility Phone: 916 442-4985
  • Facility Type: Other - MEDICATION ASSISTED TREAT
  • Facility Type: Waiver
  • Lab Director: RANDALL L. STENSON
  • NPI Number: 1679503759
  • Taxonomy: 261QR0206X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2018293
LAB Type Other - MEDICATION ASSISTED TREAT
Facility Name C O R E MEDICAL CLINIC, INC
Street 2100 CAPITOL AVE
City SACRAMENTO
State CA
ZIP 95816
Phone 916 442-4985
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Other - MEDICATION ASSISTED TREAT
Lab Director RANDALL L. STENSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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