05D2299674 CLIA NUMBER - SEQUOIA PACE, LLC

Laboratory Demographics

CLIA Code: 05D2299674
Facility Name: SEQUOIA PACE, LLC
Facility Address: 7110 N FRESNO ST, STE 140
FRESNO, CA
ZIP 93720
Facility Phone: 559 777-6722
Facility Type: Other - ALTERNATIVE CARE SETTING
Facility Type: Waiver
Lab Director: JASON M. DESADIER
NPI Number: 1063988384
Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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CLIA Record

Field Name	Field Value
CLIA Number	05D2299674
LAB Type	Other - ALTERNATIVE CARE SETTING
Facility Name	SEQUOIA PACE, LLC
Street	7110 N FRESNO ST, STE 140
City	FRESNO
State	CA
ZIP	93720
Phone	559 777-6722
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	2/23/2024
Certificate Expiration Date	2/22/2026
Facility Type	Other - ALTERNATIVE CARE SETTING
Lab Director	JASON M. DESADIER

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