05D2169597 CLIA NUMBER - MD URGENT CARE, INC

Laboratory Demographics

CLIA Number: 05D2169597

Facility Name: MD URGENT CARE, INC

Facility Address:
1140 EXPOSTION BOULEVARD SUITE 700
SACRAMENTO, CA
ZIP 95815
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Facility Phone Number: 916 333-2542

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1720555618

Taxonomy: 261QU0200X - Clinic/Center

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
CertificateType	4
CertificateEffectiveDate	7/23/2023
CertificateExpirationDate	7/22/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024