05D2303477 CLIA NUMBER - S-H OPCO LAGUNA CREEK LLC

Laboratory Demographics

  • CLIA Code: 05D2303477
  • Facility Name: S-H OPCO LAGUNA CREEK LLC
  • Facility Address: 6727 LAGUNA PARK DR
    ELK GROVE, CA
    ZIP 95758
  • Facility Phone: 530 227-5738
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JEFFREY FELGNER
  • NPI Number: 1104514595
  • Taxonomy: 183700000X - Pharmacy Technician

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CLIA Record

Field Name Field Value
CLIA Number 05D2303477
LAB Type Assisted Living Facility
Facility Name S-H OPCO LAGUNA CREEK LLC
Street 6727 LAGUNA PARK DR
City ELK GROVE
State CA
ZIP 95758
Phone 530 227-5738
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Assisted Living Facility
Lab Director JEFFREY FELGNER

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