05D2114829 CLIA NUMBER - WEST SACRAMENTO URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D2114829
  • Facility Name: WEST SACRAMENTO URGENT CARE
  • Facility Address: 2455 JEFFERSON BLVD STE 100
    WEST SACRAMENTO, CA
    ZIP 95691
  • Facility Phone: 916 617-2377
  • Facility Type: Other - URGENT CARE CLINIC
  • Facility Type: Waiver
  • Lab Director: ZIAD A. ALI
  • NPI Number: 1427413772
  • Taxonomy: 261QU0200X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2114829
LAB Type Other - URGENT CARE CLINIC
Facility Name WEST SACRAMENTO URGENT CARE
Street 2455 JEFFERSON BLVD STE 100
City WEST SACRAMENTO
State CA
ZIP 95691
Phone 916 617-2377
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Other - URGENT CARE CLINIC
Lab Director ZIAD A. ALI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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