05D2058050 CLIA NUMBER - Live Well Medical Center

Laboratory Demographics

CLIA Number: 05D2058050

Facility Name: Live Well Medical Center

Facility Address:
2828 Mills Park Dr Ste B,
Rancho Cordova, CA
ZIP 95670
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Facility Phone Number: (916) 368-0816

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1285975060

Taxonomy: 208D00000X - General Practice

CLIA Record

Field Name Field Value
CLIA Number 05D2058050
LAB Type PHYSICIAN OFFICE
Facility Name Live Well Medical Center
Street 2828 Mills Park Dr Ste B,
City Rancho Cordova
State CA
ZIP 95670
Phone 9163680816

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