05D2275579 CLIA NUMBER - DISCOVERY PRACTICE MANAGEMENT - SACRAMENTO

Laboratory Demographics

  • CLIA Code: 05D2275579
  • Facility Name: DISCOVERY PRACTICE MANAGEMENT - SACRAMENTO
  • Facility Address: 5525 CAVITT STALLMAN RD
    GRANITE BAY, CA
    ZIP 95746
  • Facility Phone: 855 777-4769
  • Facility Type: Other - RESIDENTIAL TREATMENT
  • Facility Type: Waiver
  • Lab Director: MICHAEL LOUIE
  • NPI Number: 1760901672
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2275579
LAB Type Other - RESIDENTIAL TREATMENT
Facility Name DISCOVERY PRACTICE MANAGEMENT - SACRAMENTO
Street 5525 CAVITT STALLMAN RD
City GRANITE BAY
State CA
ZIP 95746
Phone 855 777-4769
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Other - RESIDENTIAL TREATMENT
Lab Director MICHAEL LOUIE

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