05D2312947 CLIA NUMBER - COMPREHENSIVE INTERNATIONAL CARE CENTERS, PC

Laboratory Demographics

  • CLIA Code: 05D2312947
  • Facility Name: COMPREHENSIVE INTERNATIONAL CARE CENTERS, PC
  • Facility Address: 1386 LEAD HILL BLVD SUITE 100
    ROSEVILLE, CA
    ZIP 95661
  • Facility Phone: 916 234-8864
  • Facility Type: Other - OUTPATIENT MDCL FCLTY
  • Facility Type: Waiver
  • Lab Director: JOEL R. RAINWATER
  • NPI Number: 1427745421
  • Taxonomy: 2085R0204X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 05D2312947
LAB Type Other - OUTPATIENT MDCL FCLTY
Facility Name COMPREHENSIVE INTERNATIONAL CARE CENTERS, PC
Street 1386 LEAD HILL BLVD SUITE 100
City ROSEVILLE
State CA
ZIP 95661
Phone 916 234-8864
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Other - OUTPATIENT MDCL FCLTY
Lab Director JOEL R. RAINWATER

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