05D0613409 CLIA NUMBER - RITCHIE WONG MD

Laboratory Demographics

  • CLIA Code: 05D0613409
  • Facility Name: RITCHIE WONG MD
  • Facility Address: 3650 MISSION AVENUE
    CARMICHAEL, CA
    ZIP 95608
  • Facility Phone: 916 972-0882
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RITCHIE WONG
  • NPI Number: 1821054552
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0613409
LAB Type Physician Office
Facility Name RITCHIE WONG MD
Street 3650 MISSION AVENUE
City CARMICHAEL
State CA
ZIP 95608
Phone 916 972-0882
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director RITCHIE WONG

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