05D2304771 CLIA NUMBER - STOCKTON PACE LLC

Laboratory Demographics

CLIA Code: 05D2304771
Facility Name: STOCKTON PACE LLC
Facility Address: 7560 SHELDON RD
ELK GROVE, CA
ZIP 95758
Facility Phone: 916 250-1627
Facility Type: Other - PROG OF ALL INCLUSIVE CAR
Facility Type: Waiver
Lab Director: CHAD C. LOWE
NPI Number: 1356830947
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	05D2304771
LAB Type	Other - PROG OF ALL INCLUSIVE CAR
Facility Name	STOCKTON PACE LLC
Street	7560 SHELDON RD
City	ELK GROVE
State	CA
ZIP	95758
Phone	916 250-1627
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	5/17/2024
Certificate Expiration Date	5/16/2026
Facility Type	Other - PROG OF ALL INCLUSIVE CAR
Lab Director	CHAD C. LOWE

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