05D0600479 CLIA NUMBER - NAPA VALLEY FAMILY MED GROUP

Laboratory Demographics

  • CLIA Code: 05D0600479
  • Facility Name: NAPA VALLEY FAMILY MED GROUP
  • Facility Address: 1222 PINE STREET
    SAINT HELENA, CA
    ZIP 94574
  • Facility Phone: 707 963-3641
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT W. DARTER
  • NPI Number: 1710590450
  • Taxonomy: 207RG0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0600479
LAB Type Physician Office
Facility Name NAPA VALLEY FAMILY MED GROUP
Street 1222 PINE STREET
City SAINT HELENA
State CA
ZIP 94574
Phone 707 963-3641
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Physician Office
Lab Director ROBERT W. DARTER

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