05D2164170 CLIA NUMBER - ERIC L ELLIS MD INC / LINCOLN URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D2164170
  • Facility Name: ERIC L ELLIS MD INC / LINCOLN URGENT CARE
  • Facility Address: 77 LINCOLN BOULEVARD, SUITE 1
    LINCOLN, CA
    ZIP 95648
  • Facility Phone: 916 258-2751
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. ERIC ELLIS
  • NPI Number: 1215968409
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2164170
LAB Type Physician Office
Facility Name ERIC L ELLIS MD INC / LINCOLN URGENT CARE
Street 77 LINCOLN BOULEVARD, SUITE 1
City LINCOLN
State CA
ZIP 95648
Phone 916 258-2751
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 11/26/2024
Certificate Expiration Date 11/25/2026
Facility Type Physician Office
Lab Director DR. ERIC ELLIS

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