05D2029362 CLIA NUMBER - MEDMARK TREATMENT CENTERS - SACRAMENTO, INC.

Laboratory Demographics

  • CLIA Code: 05D2029362
  • Facility Name: MEDMARK TREATMENT CENTERS - SACRAMENTO, INC.
  • Facility Address: 7240 E SOUTHGATE DR, STE G
    SACRAMENTO, CA
    ZIP 95823
  • Facility Phone: 916 391-4293
  • Facility Type: Other - NARCOTIC TREATMENT PROGRM
  • Facility Type: Waiver
  • Lab Director: GILBERT E. GREENE
  • NPI Number: 1578976080
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2029362
LAB Type Other - NARCOTIC TREATMENT PROGRM
Facility Name MEDMARK TREATMENT CENTERS - SACRAMENTO, INC.
Street 7240 E SOUTHGATE DR, STE G
City SACRAMENTO
State CA
ZIP 95823
Phone 916 391-4293
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/7/2025
Certificate Expiration Date 9/6/2027
Facility Type Other - NARCOTIC TREATMENT PROGRM
Lab Director GILBERT E. GREENE

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