05D2034259 CLIA NUMBER - SWEET ANGELS HOME HEALTH PROVIDER, INC.

Laboratory Demographics

  • CLIA Code: 05D2034259
  • Facility Name: SWEET ANGELS HOME HEALTH PROVIDER, INC.
  • Facility Address: 3443 RAMONA AVENUE, SUITE 23
    SACRAMENTO, CA
    ZIP 95826
  • Facility Phone: 916 999-1429
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LARRY R. FELICIANO
  • NPI Number: 1780968438
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2034259
LAB Type Hospice
Facility Name SWEET ANGELS HOME HEALTH PROVIDER, INC.
Street 3443 RAMONA AVENUE, SUITE 23
City SACRAMENTO
State CA
ZIP 95826
Phone 916 999-1429
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Hospice
Lab Director LARRY R. FELICIANO

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This page was last updated on: 3/20/2025