05D0618634 CLIA NUMBER - HAL MEADOWS MD

Laboratory Demographics

  • CLIA Code: 05D0618634
  • Facility Name: HAL MEADOWS MD
  • Facility Address: 705 WEST ST
    SUSANVILLE, CA
    ZIP 96130
  • Facility Phone: 530 257-7251
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAL L. MEADOWS
  • NPI Number: 1538233135
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D0618634
LAB Type Physician Office
Facility Name HAL MEADOWS MD
Street 705 WEST ST
City SUSANVILLE
State CA
ZIP 96130
Phone 530 257-7251
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2024
Certificate Expiration Date 5/28/2026
Facility Type Physician Office
Lab Director HAL L. MEADOWS

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