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HEALTH AND LIFE ORGANIZATION, INC.
NPI 1104484807
Clinic/Center - Federally Qualified Health Center (FQHC) in Sacramento, CA

Active since May 29, 2019CLIA Certified · 3 labs
7275 E SOUTHGATE DR STE 106, SACRAMENTO, CA 95823(916) 642-1867 Get Directions Write a Review

NPPES record last updated: November 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 9, 2021, May 29, 2019 (2 updates tracked since 2019).

About Health And Life Organization, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTH AND LIFE ORGANIZATION, INC. (NPI 1104484807), doing business as Sacramento Community Clinic - Southgate Dental, is a healthcare organization registered as a federally qualified health center (fqhc) in Sacramento, California and active in the NPI registry since May 2019. The organization holds 3 active CLIA laboratory certificates and lists Jerry T Bliatout, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104484807
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameHEALTH AND LIFE ORGANIZATION, INC.
Location Address7275 E SOUTHGATE DR STE 106Sacramento, CA 95823-2610
Mailing Address3030 Explorer DrSacramento, CA 95827-2728
Phone(916) 642-1867
Organization SubpartNo
Authorized OfficialJerry T BliatoutCeo · (916) 428-3788
Enumeration DateMay 29, 2019
Last NPPES UpdateNovember 9, 20212 updates tracked since enumeration
NPPES CertifiedNovember 9, 2021
✔ NPI 1104484807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
7275 E SOUTHGATE DR STE 106, Sacramento, CA 95823
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Other Names 1

Doing Business AsSacramento Community Clinic - Southgate Dental

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2123863

Health And Life Organization Inc Dba Sacramento Community Clinic · Sacramento, CA
Active · expires Jan 3, 2027
CLIA Number05D2123863
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJanuary 4, 2025
Certificate Expiration DateJanuary 3, 2027
Laboratory DirectorIan R. Johnson
Laboratory Phone(916) 642-1867
Laboratory LocationHealth And Life Organization Inc Dba Sacramento Community Clinic3030 Explorer Dr, Sacramento, CA 95827
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2289257

Health And Life Organization, Inc Dba Sacramento Community Clinic · Sacramento, CA
Active · expires Sep 6, 2027
CLIA Number05D2289257
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 7, 2025
Certificate Expiration DateSeptember 6, 2027
Laboratory DirectorIan Johnson
Laboratory Phone(916) 642-1867
Laboratory LocationHealth And Life Organization, Inc Dba Sacramento Community Clinic7215 55th St Ste B, Sacramento, CA 95823
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2022988

Health And Life Organization, Inc Dba Sacramento Community Clinic · Sacramento, CA
Active · expires Apr 12, 2027
CLIA Number05D2022988
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorChainaronk Limanon
Laboratory Phone(916) 642-1867
Laboratory LocationHealth And Life Organization, Inc Dba Sacramento Community Clinic5524 Assembly Court, Sacramento, CA 95823
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Health And Life Organization, Inc.'s NPI number?

The NPI number for Health And Life Organization, Inc. is 1104484807. It was assigned to this organization in the NPPES registry on May 29, 2019. The provider is doing business as Sacramento Community Clinic - Southgate Dental.

Where is Health And Life Organization, Inc. located?

Health And Life Organization, Inc. is located at 7275 E Southgate Dr Ste 106, Sacramento, CA 95823. The listed phone number is (916) 642-1867.

What is Health And Life Organization, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Health And Life Organization, Inc. hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Health And Life Organization, Inc. was last updated on November 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.