05D0615081 CLIA NUMBER - KURTIS H FOX MD

Laboratory Demographics

  • CLIA Code: 05D0615081
  • Facility Name: KURTIS H FOX MD
  • Facility Address: 101 W GRASS VALLEY ST
    COLFAX, CA
    ZIP 95713
  • Facility Phone: 916 346-2281
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KURTIS H. FOX
  • NPI Number: 1396779930
  • Taxonomy: 207QG0300X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0615081
LAB Type Physician Office
Facility Name KURTIS H FOX MD
Street 101 W GRASS VALLEY ST
City COLFAX
State CA
ZIP 95713
Phone 916 346-2281
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 12/20/2024
Certificate Expiration Date 12/19/2026
Facility Type Physician Office
Lab Director KURTIS H. FOX

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