05D2238270 CLIA NUMBER - SMILE TIME DENTAL

Laboratory Demographics

  • CLIA Code: 05D2238270
  • Facility Name: SMILE TIME DENTAL
  • Facility Address: 2241 SUNSET BLVD SUITE #E
    ROCKLIN, CA
    ZIP 95765
  • Facility Phone: 916 984-4224
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: AFSHIN ARYA
  • NPI Number: 1578724928
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 05D2238270
LAB Type Practitioner Other
Facility Name SMILE TIME DENTAL
Street 2241 SUNSET BLVD SUITE #E
City ROCKLIN
State CA
ZIP 95765
Phone 916 984-4224
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2023
Certificate Expiration Date 9/30/2025
Facility Type Practitioner Other
Lab Director AFSHIN ARYA

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