05D0063791 CLIA NUMBER - STUDENT HEALTH CENTER LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0063791
  • Facility Name: STUDENT HEALTH CENTER LABORATORY
  • Facility Address: CAL POLY HUMBOLDT 1 HARPST STREET
    ARCATA, CA
    ZIP 95521
  • Facility Phone: 707 826-5036
  • Facility Type: School/Student Health Service
  • Facility Type: Accreditation
  • Lab Director: JESSICA VANARSDALE
  • NPI Number: 1104991744
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0063791
LAB Type School/Student Health Service
Facility Name STUDENT HEALTH CENTER LABORATORY
Street CAL POLY HUMBOLDT 1 HARPST STREET
City ARCATA
State CA
ZIP 95521
Phone 707 826-5036
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type School/Student Health Service
Lab Director JESSICA VANARSDALE

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