05D2181021 CLIA NUMBER - WELLSPACE HEALTH SIERRA GARDENS 2 COMM HEALTH CTR

Laboratory Demographics

  • CLIA Code: 05D2181021
  • Facility Name: WELLSPACE HEALTH SIERRA GARDENS 2 COMM HEALTH CTR
  • Facility Address: 151 N SUNRISE AVENUE SUITE 1309
    ROSEVILLE, CA
    ZIP 95661
  • Facility Phone: 916 737-5555
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: JANINE V. BERA
  • NPI Number: 1740587914
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2181021
LAB Type Federally Qualified Health Center
Facility Name WELLSPACE HEALTH SIERRA GARDENS 2 COMM HEALTH CTR
Street 151 N SUNRISE AVENUE SUITE 1309
City ROSEVILLE
State CA
ZIP 95661
Phone 916 737-5555
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 3/25/2024
Certificate Expiration Date 3/24/2026
Facility Type Federally Qualified Health Center
Lab Director JANINE V. BERA

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