05D2191175 CLIA NUMBER - COMMUNITY HEALTH CENTERS OF AMERICA

Laboratory Demographics

  • CLIA Code: 05D2191175
  • Facility Name: COMMUNITY HEALTH CENTERS OF AMERICA
  • Facility Address: 6608 MERCY COURT SUITE B
    FAIR OAKS, CA
    ZIP 95628
  • Facility Phone: 916 241-9844
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHANDAN CHEEMA
  • NPI Number: 1053488114
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2191175
LAB Type Physician Office
Facility Name COMMUNITY HEALTH CENTERS OF AMERICA
Street 6608 MERCY COURT SUITE B
City FAIR OAKS
State CA
ZIP 95628
Phone 916 241-9844
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Physician Office
Lab Director CHANDAN CHEEMA

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