05D2294079 CLIA NUMBER - COMPREHENSIVE INTERVENTIONAL CARECENTERS, PC

Laboratory Demographics

  • CLIA Code: 05D2294079
  • Facility Name: COMPREHENSIVE INTERVENTIONAL CARECENTERS, PC
  • Facility Address: 1111 EXPOSITION BLVD #300
    SACRAMENTO, CA
    ZIP 95815
  • Facility Phone: 916 713-0016
  • Facility Type: Other - MEDICAL OFFICE
  • Facility Type: Waiver
  • Lab Director: BRIAN T. EVANS
  • NPI Number: 1144809286
  • Taxonomy: 2084P0802X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 05D2294079
LAB Type Other - MEDICAL OFFICE
Facility Name COMPREHENSIVE INTERVENTIONAL CARECENTERS, PC
Street 1111 EXPOSITION BLVD #300
City SACRAMENTO
State CA
ZIP 95815
Phone 916 713-0016
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/17/2023
Certificate Expiration Date 11/16/2025
Facility Type Other - MEDICAL OFFICE
Lab Director BRIAN T. EVANS

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