05D2315884 CLIA NUMBER - AA AFFINITY HEALTHCARE, LLC

Laboratory Demographics

  • CLIA Code: 05D2315884
  • Facility Name: AA AFFINITY HEALTHCARE, LLC
  • Facility Address: 5665 POWER INN RD, STE 152
    SACRAMENTO, CA
    ZIP 95824
  • Facility Phone: 916 525-8486
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: LARRY FELICIANO
  • NPI Number: 1265287890
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2315884
LAB Type Home Health Agency
Facility Name AA AFFINITY HEALTHCARE, LLC
Street 5665 POWER INN RD, STE 152
City SACRAMENTO
State CA
ZIP 95824
Phone 916 525-8486
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Home Health Agency
Lab Director LARRY FELICIANO

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