05D0674201 CLIA NUMBER - VISTA COMPLETE CARE

Laboratory Demographics

  • CLIA Code: 05D0674201
  • Facility Name: VISTA COMPLETE CARE
  • Facility Address: 23000 FORESTHILL RD
    FORESTHILL, CA
    ZIP 95631
  • Facility Phone: 530 885-3951
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL SEWELL MD
  • NPI Number: 1851603278
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0674201
LAB Type Physician Office
Facility Name VISTA COMPLETE CARE
Street 23000 FORESTHILL RD
City FORESTHILL
State CA
ZIP 95631
Phone 530 885-3951
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Physician Office
Lab Director DANIEL SEWELL MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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