05D0612111 CLIA NUMBER - HEALDSBURG HOSPITAL

Laboratory Demographics

  • CLIA Code: 05D0612111
  • Facility Name: HEALDSBURG HOSPITAL
  • Facility Address: 1375 UNIVERSITY AVE
    HEALDSBURG, CA
    ZIP 95448
  • Facility Phone: 707 431-6400
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: BRADY J. FELIZ
  • NPI Number: 1811109077
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 05D0612111
LAB Type Hospital
Facility Name HEALDSBURG HOSPITAL
Street 1375 UNIVERSITY AVE
City HEALDSBURG
State CA
ZIP 95448
Phone 707 431-6400
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 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Hospital
Lab Director BRADY J. FELIZ

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