05D0610809 CLIA NUMBER - OAK VALLEY HOSPITAL

Laboratory Demographics

CLIA Number: 05D0610809

Facility Name: OAK VALLEY HOSPITAL

Facility Address:
350 S OAK AVENUE
OAKDALE, CA
ZIP 95361
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Facility Phone Number: 209 848-4167

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1770624553

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0610809
LAB Type	Hospital
Facility Name	OAK VALLEY HOSPITAL
Street	350 S OAK AVENUE
City	OAKDALE
State	CA
ZIP	95361
Phone	209 848-4167
CertificateType	1
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024