05D2057507 CLIA NUMBER - Pediatric Health And Wellness

Laboratory Demographics

CLIA Number: 05D2057507

Facility Name: Pediatric Health And Wellness

Facility Address:
6815 Five Star Blvd Ste 100,
Rocklin, CA
ZIP 95677
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Facility Phone Number: (916) 626-3060

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1124426580

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 05D2057507
LAB Type PHYSICIAN OFFICE
Facility Name Pediatric Health And Wellness
Street 6815 Five Star Blvd Ste 100,
City Rocklin
State CA
ZIP 95677
Phone 9166263060

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This page was last updated on: 5/19/2019