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Sutter Health Sacramento Sierra Region

Organization Active NPI Clinical Medical Laboratory · Auburn, CA

NPI 1790720993 · NPPES record last updated Jan 7, 2022

Key facts

NPI
1790720993
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
License
05D0644110 (CA)
Legal business name
SUTTER HEALTH SACRAMENTO SIERRA REGION
Practice address
11815 Education St
Auburn, CA 95602-2410
Phone
(530) 888-4557
Fax
(530) 888-6611
NPI assigned
Jun 19, 2006
Organization subpart
No

Authorized official

Name
James Conforti
Title
President
Phone
(916) 887-7040

Corporate family (same tax ID) 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0644110Sutter Auburn Faith Hospital
11815 Education St, Auburn, CA 95602		AccreditationFeb 27, 2027
05D0698614Sutter Auburn Faith Hospital
11815 Education St, Auburn, CA 95602		AccreditationApr 27, 2027

National Provider Directory

Tax ID family
Sutter Immediate Care (27 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D0644110 CA Yes

Addresses

Primary practice location

11815 Education St
Auburn, CA 95602-2410

Mailing address

PO Box 619092
Roseville, CA 95661-9092
Phone (915) 297-8079

Other identifiers

IdentifierTypeStateIssuer
1790720993OtherCAMEDI-CAL

Other names

  • Sutter Auburn Faith Hospital Doing business as

Other providers in Auburn, CA

All providers in Auburn, CA · Clinical Medical Laboratory in California

Sources for this page

Verify at the official NPI Registry.