05D2300091 CLIA NUMBER - UC DAVIS CENTER FOR DIAGNOSTIC INNOVATION

Laboratory Demographics

  • CLIA Code: 05D2300091
  • Facility Name: UC DAVIS CENTER FOR DIAGNOSTIC INNOVATION
  • Facility Address: 2700 STOCKTON BLVD RM 1306
    SACRAMENTO, CA
    ZIP 95817
  • Facility Phone: 916 734-2982
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Certificate of Compliance
  • Lab Director: CLAYTON K. LAVALLEY
  • NPI Number: 1366493124
  • Taxonomy: 281PC2000X - Chronic Disease Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D2300091
LAB Type Ancillary Testing Site in Health Care Center
Facility Name UC DAVIS CENTER FOR DIAGNOSTIC INNOVATION
Street 2700 STOCKTON BLVD RM 1306
City SACRAMENTO
State CA
ZIP 95817
Phone 916 734-2982
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/4/2024
Certificate Expiration Date 3/3/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director CLAYTON K. LAVALLEY

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