05D2181732 CLIA NUMBER - ONE COMMUNITY HEALTH - ARDEN-ARCADE

Laboratory Demographics

  • CLIA Code: 05D2181732
  • Facility Name: ONE COMMUNITY HEALTH - ARDEN-ARCADE
  • Facility Address: 1442 ETHAN WAY SUITE 100
    SACRAMENTO, CA
    ZIP 95825
  • Facility Phone: 916 443-3299
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: TASNIM A. KHAN
  • NPI Number: 1982114492
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2181732
LAB Type Federally Qualified Health Center
Facility Name ONE COMMUNITY HEALTH - ARDEN-ARCADE
Street 1442 ETHAN WAY SUITE 100
City SACRAMENTO
State CA
ZIP 95825
Phone 916 443-3299
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 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Federally Qualified Health Center
Lab Director TASNIM A. KHAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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