05D0614469 CLIA NUMBER - MARSHALL OB/GYN PLACERVILLE

Laboratory Demographics

CLIA Number: 05D0614469

Facility Name: MARSHALL OB/GYN PLACERVILLE

Facility Address:
1095 MARSHALL WAY STE 201
PLACERVILLE, CA
ZIP 95667
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Facility Phone Number: (530) 344-5470

Facility Type: HOSPITAL

Certificate Type: Microscopy

NPI Number: 1629142708

Taxonomy: 261QE0800X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0614469
LAB Type	HOSPITAL
Facility Name	MARSHALL OB/GYN PLACERVILLE
Street	1095 MARSHALL WAY STE 201
City	PLACERVILLE
State	CA
ZIP	95667
Phone	(530) 344-5470

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This page was last updated on: 5/11/2023