05D0614483 CLIA NUMBER - MARSHALL GENERAL SURGERY

Laboratory Demographics

  • CLIA Code: 05D0614483
  • Facility Name: MARSHALL GENERAL SURGERY
  • Facility Address: 1095 MARSHALL WAY STE 202
    PLACERVILLE, CA
    ZIP 95667
  • Facility Phone: 530 344-5496
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: GERARDO S. GALANG
  • NPI Number: 1629142708
  • Taxonomy: 261QE0800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0614483
LAB Type Hospital
Facility Name MARSHALL GENERAL SURGERY
Street 1095 MARSHALL WAY STE 202
City PLACERVILLE
State CA
ZIP 95667
Phone 530 344-5496
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Hospital
Lab Director GERARDO S. GALANG

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