05D2069791 CLIA NUMBER - CAPITOL INTERNAL MEDICINE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 05D2069791
  • Facility Name: CAPITOL INTERNAL MEDICINE ASSOCIATES
  • Facility Address: 6620 COYLE AVENUE #302
    CARMICHAEL, CA
    ZIP 95608
  • Facility Phone: 916 966-8500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DHEERAJ KAMRA, MD
  • NPI Number: 1508899758
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2069791
LAB Type Physician Office
Facility Name CAPITOL INTERNAL MEDICINE ASSOCIATES
Street 6620 COYLE AVENUE #302
City CARMICHAEL
State CA
ZIP 95608
Phone 916 966-8500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2023
Certificate Expiration Date 12/2/2025
Facility Type Physician Office
Lab Director DHEERAJ KAMRA, MD

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