05D2119038 CLIA NUMBER - ROSEVILLE ONCOLOGY LABORATORY

Laboratory Demographics

  • CLIA Code: 05D2119038
  • Facility Name: ROSEVILLE ONCOLOGY LABORATORY
  • Facility Address: 8 MEDICAL PLAZA STE 300
    ROSEVILLE, CA
    ZIP 95661
  • Facility Phone: 916 733-8246
  • Facility Type: Other - MEDICAL FOUNDATION LAB
  • Facility Type: Accreditation
  • Lab Director: DR. HANNAH WONG
  • NPI Number: 1154777431
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2119038
LAB Type Other - MEDICAL FOUNDATION LAB
Facility Name ROSEVILLE ONCOLOGY LABORATORY
Street 8 MEDICAL PLAZA STE 300
City ROSEVILLE
State CA
ZIP 95661
Phone 916 733-8246
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type Other - MEDICAL FOUNDATION LAB
Lab Director DR. HANNAH WONG

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