05D2217482 CLIA NUMBER - ROSEVILLE HOME THERAPY

Laboratory Demographics

  • CLIA Code: 05D2217482
  • Facility Name: ROSEVILLE HOME THERAPY
  • Facility Address: 1474 STONE POINT DR, STE 105
    ROSEVILLE, CA
    ZIP 95661
  • Facility Phone: 916 771-4111
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: RAKHA PAREEK
  • NPI Number: 1710383070
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2217482
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name ROSEVILLE HOME THERAPY
Street 1474 STONE POINT DR, STE 105
City ROSEVILLE
State CA
ZIP 95661
Phone 916 771-4111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/22/2025
Certificate Expiration Date 3/21/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director RAKHA PAREEK

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This page was last updated on: 3/20/2025