05D2319247 CLIA NUMBER - ERIC L ELLIS, MD INC DBA LINCOLN URGENT CARE-ROSEVILLE

Laboratory Demographics

  • CLIA Code: 05D2319247
  • Facility Name: ERIC L ELLIS, MD INC DBA LINCOLN URGENT CARE-ROSEVILLE
  • Facility Address: 5007 FOOTHILL BLVD
    ROSEVILLE, CA
    ZIP 95747
  • Facility Phone: 916 727-6846
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC L. ELLIS
  • NPI Number: 1386118305
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2319247
LAB Type Physician Office
Facility Name ERIC L ELLIS, MD INC DBA LINCOLN URGENT CARE-ROSEVILLE
Street 5007 FOOTHILL BLVD
City ROSEVILLE
State CA
ZIP 95747
Phone 916 727-6846
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/25/2025
Certificate Expiration Date 2/24/2027
Facility Type Physician Office
Lab Director ERIC L. ELLIS

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