05D0610848 CLIA NUMBER - RIPON FAMILY PHYSICIANS

Laboratory Demographics

  • CLIA Code: 05D0610848
  • Facility Name: RIPON FAMILY PHYSICIANS
  • Facility Address: 521 N WILMA AVE #A
    RIPON, CA
    ZIP 95366
  • Facility Phone: 209 599-4211
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KENT A. HUFFORD
  • NPI Number: 1356912638
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0610848
LAB Type Physician Office
Facility Name RIPON FAMILY PHYSICIANS
Street 521 N WILMA AVE #A
City RIPON
State CA
ZIP 95366
Phone 209 599-4211
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 2/7/2024
Certificate Expiration Date 2/6/2026
Facility Type Physician Office
Lab Director KENT A. HUFFORD

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