05D2065858 CLIA NUMBER - BRANDTGROUP HOMES INC DBA JEAN MARTIN HOMES

Laboratory Demographics

  • CLIA Code: 05D2065858
  • Facility Name: BRANDTGROUP HOMES INC DBA JEAN MARTIN HOMES
  • Facility Address: 7357 WOODRUFF WAY
    CITRUS HEIGHTS, CA
    ZIP 95621
  • Facility Phone: 916 331-1757
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: ANANT K. LODHIA
  • NPI Number: 1912047556
  • Taxonomy: 315P00000X - Intermediate Care Facility, Intellectual Disabilities

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CLIA Record

Field Name Field Value
CLIA Number 05D2065858
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name BRANDTGROUP HOMES INC DBA JEAN MARTIN HOMES
Street 7357 WOODRUFF WAY
City CITRUS HEIGHTS
State CA
ZIP 95621
Phone 916 331-1757
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/16/2025
Certificate Expiration Date 9/15/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director ANANT K. LODHIA

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