05D2317255 CLIA NUMBER - ROCKLIN REHAB LLC

Laboratory Demographics

  • CLIA Code: 05D2317255
  • Facility Name: ROCKLIN REHAB LLC
  • Facility Address: 4960 ROCKLIN RD STE 200
    ROCKLIN, CA
    ZIP 95677
  • Facility Phone: 310 343-8684
  • Facility Type: Other - IOP
  • Facility Type: Waiver
  • Lab Director: JISEUNG YOON
  • NPI Number: 1043904931
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2317255
LAB Type Other - IOP
Facility Name ROCKLIN REHAB LLC
Street 4960 ROCKLIN RD STE 200
City ROCKLIN
State CA
ZIP 95677
Phone 310 343-8684
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/21/2025
Certificate Expiration Date 1/20/2027
Facility Type Other - IOP
Lab Director JISEUNG YOON

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