05D2073419 CLIA NUMBER - TLCS INC

Laboratory Demographics

CLIA Number: 05D2073419

Facility Name: TLCS INC

Facility Address:
650 HOWE AVE STE 400-B
SACRAMENTO, CA
ZIP 95825
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Facility Phone Number: 916 993-4131

Facility Type: Other - MENTAL HLTH OUTPENT CLINI

Certificate Type: Waiver

NPI Number: 1609953884

Taxonomy: 261QM0850X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

CLIA Record

Field Name Field Value
CLIA Number 05D2073419
LAB Type Other - MENTAL HLTH OUTPENT CLINI
Facility Name TLCS INC
Street 650 HOWE AVE STE 400-B
City SACRAMENTO
State CA
ZIP 95825
Phone 916 993-4131
CertificateType 4
CertificateEffectiveDate 2/18/2024
CertificateExpirationDate 2/17/2026
FacilityType Waiver

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