05D0687819 CLIA NUMBER - NEVADA COUNTY PUBLIC HEALTH DEPARTMENT

Laboratory Demographics

  • CLIA Code: 05D0687819
  • Facility Name: NEVADA COUNTY PUBLIC HEALTH DEPARTMENT
  • Facility Address: 500 CROWN POINT CIRCLE SUITE 110
    GRASS VALLEY, CA
    ZIP 95945
  • Facility Phone: 530 265-1450
  • Facility Type: Public Health Laboratories
  • Facility Type: Microscopy
  • Lab Director: SHERILYNN E. COOKE
  • NPI Number: 1700959863
  • Taxonomy: 251K00000X - Public Health or Welfare

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CLIA Record

Field Name Field Value
CLIA Number 05D0687819
LAB Type Public Health Laboratories
Facility Name NEVADA COUNTY PUBLIC HEALTH DEPARTMENT
Street 500 CROWN POINT CIRCLE SUITE 110
City GRASS VALLEY
State CA
ZIP 95945
Phone 530 265-1450
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 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Public Health Laboratories
Lab Director SHERILYNN E. COOKE

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