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05D2289257 CLIA NUMBER - HEALTH AND LIFE ORGANIZATION, INC DBA SACRAMENTO COMMUNITY CLINIC

Laboratory Demographics

CLIA Number: 05D2289257

Facility Name: HEALTH AND LIFE ORGANIZATION, INC DBA SACRAMENTO COMMUNITY CLINIC

Facility Address:
7215 55TH ST STE B
SACRAMENTO, CA
ZIP 95823
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Facility Phone Number: 916 642-1867

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver
NPI Number: 1144600248

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 05D2289257
LAB Type Federally Qualified Health Center
Facility Name HEALTH AND LIFE ORGANIZATION, INC DBA SACRAMENTO COMMUNITY CLINIC
Street 7215 55TH ST STE B
City SACRAMENTO
State CA
ZIP 95823
Phone 916 642-1867
CertificateType 4
CertificateEffectiveDate 9/7/2023
CertificateExpirationDate 9/6/2025
FacilityType Waiver

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