05D2284360 CLIA NUMBER - DIGNITY HEALTH MEDICAL FOUNDATION

Laboratory Demographics

  • CLIA Code: 05D2284360
  • Facility Name: DIGNITY HEALTH MEDICAL FOUNDATION
  • Facility Address: 8120 TIMBERLAKE WAY, STE 107
    SACRAMENTO, CA
    ZIP 95823
  • Facility Phone: 916 379-2861
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DANIEL M. YUEN
  • NPI Number: 1073047072
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2284360
LAB Type Physician Office
Facility Name DIGNITY HEALTH MEDICAL FOUNDATION
Street 8120 TIMBERLAKE WAY, STE 107
City SACRAMENTO
State CA
ZIP 95823
Phone 916 379-2861
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Physician Office
Lab Director DANIEL M. YUEN

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