05D2260662 CLIA NUMBER - DEPARTMENT OF FOOD AND AGRICULTURE-CDFA-FOOD AND AGRICULTURE

Laboratory Demographics

CLIA Number: 05D2260662

Facility Name: DEPARTMENT OF FOOD AND AGRICULTURE-CDFA-FOOD AND AGRICULTURE

Facility Address:
1220 N STREET
SACRAMENTO, CA
ZIP 95814
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Facility Phone Number: 916 584-1564

Facility Type: Other - GOVERNMENT EMPLOYMENT

Certificate Type: Waiver

NPI Number: 1043249204

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name	Field Value
CLIA Number	05D2260662
LAB Type	Other - GOVERNMENT EMPLOYMENT
Facility Name	DEPARTMENT OF FOOD AND AGRICULTURE-CDFA-FOOD AND AGRICULTURE
Street	1220 N STREET
City	SACRAMENTO
State	CA
ZIP	95814
Phone	916 584-1564
CertificateType	4
CertificateEffectiveDate	5/23/2022
CertificateExpirationDate	5/22/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024