05D2125524 CLIA NUMBER - WELLSPACE HEALTH ALHAMBRA COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D2125524
  • Facility Name: WELLSPACE HEALTH ALHAMBRA COMMUNITY HEALTH CENTER
  • Facility Address: 2425 ALHAMBRA BLVD
    SACRAMENTO, CA
    ZIP 95817
  • Facility Phone: 916 469-4690
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: DR. JANINE W. BERA
  • NPI Number: 1700392529
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2125524
LAB Type Federally Qualified Health Center
Facility Name WELLSPACE HEALTH ALHAMBRA COMMUNITY HEALTH CENTER
Street 2425 ALHAMBRA BLVD
City SACRAMENTO
State CA
ZIP 95817
Phone 916 469-4690
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Federally Qualified Health Center
Lab Director DR. JANINE W. BERA

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