05D0063882 CLIA NUMBER - SUTTER-AMADOR HOSPITAL LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0063882
  • Facility Name: SUTTER-AMADOR HOSPITAL LABORATORY
  • Facility Address: 100 MISSION BLVD
    JACKSON, CA
    ZIP 95642
  • Facility Phone: 209 223-7541
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. AMANDA C. MULLINS
  • NPI Number: 1558445338
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0063882
LAB Type Hospital
Facility Name SUTTER-AMADOR HOSPITAL LABORATORY
Street 100 MISSION BLVD
City JACKSON
State CA
ZIP 95642
Phone 209 223-7541
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 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director DR. AMANDA C. MULLINS

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