05D2154513 CLIA NUMBER - WELLSPACE HEALTH ARDEN ARCADE

Laboratory Demographics

  • CLIA Code: 05D2154513
  • Facility Name: WELLSPACE HEALTH ARDEN ARCADE
  • Facility Address: 2433 MARCONI AVENUE
    SACRAMENTO, CA
    ZIP 95821
  • Facility Phone: 916 822-8970
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: JANINE V. BERA MD
  • NPI Number: 1548789050
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2154513
LAB Type Federally Qualified Health Center
Facility Name WELLSPACE HEALTH ARDEN ARCADE
Street 2433 MARCONI AVENUE
City SACRAMENTO
State CA
ZIP 95821
Phone 916 822-8970
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Federally Qualified Health Center
Lab Director JANINE V. BERA MD

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