05D2051914 CLIA NUMBER - MDSTAT URGENT CARE, INC.

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Laboratory Demographics

CLIA Number: 05D2051914

Facility Name: MDSTAT URGENT CARE, INC.

Facility Address:
391 HOWE AVE
SACRAMENTO, CA
ZIP 95825
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Facility Phone Number: 916 678-5291

Facility Type: Other - OUTPATIENT URGENT CARE

Certificate Type: Waiver

NPI Number: 1194198705

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2051914
LAB Type	Other - OUTPATIENT URGENT CARE
Facility Name	MDSTAT URGENT CARE, INC.
Street	391 HOWE AVE
City	SACRAMENTO
State	CA
ZIP	95825
Phone	916 678-5291
CertificateType	4
CertificateEffectiveDate	1/2/2023
CertificateExpirationDate	1/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024