05D0599701 CLIA NUMBER - PEDIATRIC MEDICAL ASSOCIATES DBA HARVEST

Laboratory Demographics

  • CLIA Code: 05D0599701
  • Facility Name: PEDIATRIC MEDICAL ASSOCIATES DBA HARVEST
  • Facility Address: 1100 TRANCAS ST #270
    NAPA, CA
    ZIP 94558
  • Facility Phone: 916 924-9337
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAVINDER S. KHAIRA
  • NPI Number: 1124226402
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0599701
LAB Type Physician Office
Facility Name PEDIATRIC MEDICAL ASSOCIATES DBA HARVEST
Street 1100 TRANCAS ST #270
City NAPA
State CA
ZIP 94558
Phone 916 924-9337
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director RAVINDER S. KHAIRA

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