05D0613955 CLIA NUMBER - ALLEN E PRIEST JR MD

Laboratory Demographics

  • CLIA Code: 05D0613955
  • Facility Name: ALLEN E PRIEST JR MD
  • Facility Address: 6600 MERCY COURT STE 210
    FAIR OAKS, CA
    ZIP 95628
  • Facility Phone: 916 967-8201
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLEN E. PRIEST JR
  • NPI Number: 1487724704
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0613955
LAB Type Physician Office
Facility Name ALLEN E PRIEST JR MD
Street 6600 MERCY COURT STE 210
City FAIR OAKS
State CA
ZIP 95628
Phone 916 967-8201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Physician Office
Lab Director ALLEN E. PRIEST JR

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