05D2295950 CLIA NUMBER - THRIVE PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 05D2295950
  • Facility Name: THRIVE PRIMARY CARE
  • Facility Address: 2390 EAST BIDWELL, SUITE 300
    FOLSOM, CA
    ZIP 95630
  • Facility Phone: 209 601-4759
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MEREDITH B. RISHWAIN
  • NPI Number: 1093582470
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2295950
LAB Type Physician Office
Facility Name THRIVE PRIMARY CARE
Street 2390 EAST BIDWELL, SUITE 300
City FOLSOM
State CA
ZIP 95630
Phone 209 601-4759
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Physician Office
Lab Director MEREDITH B. RISHWAIN

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