05D2136149 CLIA NUMBER - DIAMOND HOUSE DETOX

Laboratory Demographics

  • CLIA Code: 05D2136149
  • Facility Name: DIAMOND HOUSE DETOX
  • Facility Address: 8624 DIAMOND OAK WAY
    ELK GROVE, CA
    ZIP 95624
  • Facility Phone: 916 896-1495
  • Facility Type: Other - RESIDENT TRTMNT CENTER
  • Facility Type: Waiver
  • Lab Director: STEVEN SUGDEN, MD
  • NPI Number: 1538528716
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2136149
LAB Type Other - RESIDENT TRTMNT CENTER
Facility Name DIAMOND HOUSE DETOX
Street 8624 DIAMOND OAK WAY
City ELK GROVE
State CA
ZIP 95624
Phone 916 896-1495
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Other - RESIDENT TRTMNT CENTER
Lab Director STEVEN SUGDEN, MD

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