05D2239169 CLIA NUMBER - PATHWAYS RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2239169
  • Facility Name: PATHWAYS RECOVERY
  • Facility Address: 775 SUNRISE AVE #210
    ROSEVILLE, CA
    ZIP 95661
  • Facility Phone: 916 735-8977
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: CHARLES CARPENTER
  • NPI Number: 1922512508
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2239169
LAB Type Comp. Outpatient Rehab Facility
Facility Name PATHWAYS RECOVERY
Street 775 SUNRISE AVE #210
City ROSEVILLE
State CA
ZIP 95661
Phone 916 735-8977
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2025
Certificate Expiration Date 10/7/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director CHARLES CARPENTER

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