05D2169597 CLIA NUMBER - MD URGENT CARE, INC

Laboratory Demographics

  • CLIA Code: 05D2169597
  • Facility Name: MD URGENT CARE, INC
  • Facility Address: 1140 EXPOSTION BOULEVARD SUITE 700
    SACRAMENTO, CA
    ZIP 95815
  • Facility Phone: 916 333-2542
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WAIS TARRAR
  • NPI Number: 1720555618
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2169597
LAB Type Physician Office
Facility Name MD URGENT CARE, INC
Street 1140 EXPOSTION BOULEVARD SUITE 700
City SACRAMENTO
State CA
ZIP 95815
Phone 916 333-2542
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Physician Office
Lab Director WAIS TARRAR

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