05D2127809 CLIA NUMBER - BELLA NIRVANA CENTER, INC

Laboratory Demographics

  • CLIA Code: 05D2127809
  • Facility Name: BELLA NIRVANA CENTER, INC
  • Facility Address: 1710 PRAIRIE CITY ROAD, SUITE 120
    FOLSOM, CA
    ZIP 95630
  • Facility Phone: 916 222-2181
  • Facility Type: Other - SUBSTANCE ABUSE TREATMENT
  • Facility Type: Waiver
  • Lab Director: ALOK KRISHNA
  • NPI Number: 1316486368
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2127809
LAB Type Other - SUBSTANCE ABUSE TREATMENT
Facility Name BELLA NIRVANA CENTER, INC
Street 1710 PRAIRIE CITY ROAD, SUITE 120
City FOLSOM
State CA
ZIP 95630
Phone 916 222-2181
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/20/2025
Certificate Expiration Date 3/19/2027
Facility Type Other - SUBSTANCE ABUSE TREATMENT
Lab Director ALOK KRISHNA

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This page was last updated on: 3/20/2025