05D2082490 CLIA NUMBER - ELK GROVE APPLE WELLNESS CENTER LAB

Laboratory Demographics

  • CLIA Code: 05D2082490
  • Facility Name: ELK GROVE APPLE WELLNESS CENTER LAB
  • Facility Address: 2511 LAGUNA BLVD
    ELK GROVE, CA
    ZIP 95758
  • Facility Phone: 916 688-2764
  • Facility Type: Other - COMPANY CLINIC
  • Facility Type: Waiver
  • Lab Director: ASRAA L. NAMIQ, MD
  • NPI Number: 1275918542
  • Taxonomy: 237600000X - Audiologist-Hearing Aid Fitter

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CLIA Record

Field Name Field Value
CLIA Number 05D2082490
LAB Type Other - COMPANY CLINIC
Facility Name ELK GROVE APPLE WELLNESS CENTER LAB
Street 2511 LAGUNA BLVD
City ELK GROVE
State CA
ZIP 95758
Phone 916 688-2764
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Other - COMPANY CLINIC
Lab Director ASRAA L. NAMIQ, MD

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