05D2255281 CLIA NUMBER - PATHWAYS RECOVERY

Laboratory Demographics

  • CLIA Code: 05D2255281
  • Facility Name: PATHWAYS RECOVERY
  • Facility Address: 1101 KENSINGTON DR
    ROSEVILLE, CA
    ZIP 95661
  • Facility Phone: 916 735-8377
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: CHARLES CARPENTER
  • NPI Number: 1740794338
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2255281
LAB Type Comp. Outpatient Rehab Facility
Facility Name PATHWAYS RECOVERY
Street 1101 KENSINGTON DR
City ROSEVILLE
State CA
ZIP 95661
Phone 916 735-8377
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director CHARLES CARPENTER

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