05D0690796 CLIA NUMBER - UC DAVIS MEDICAL GROUP-CARMICHAEL

Laboratory Demographics

  • CLIA Code: 05D0690796
  • Facility Name: UC DAVIS MEDICAL GROUP-CARMICHAEL
  • Facility Address: 7551 MADISON AVE
    CITRUS HEIGHTS, CA
    ZIP 95610
  • Facility Phone: 916 904-3035
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DANIEL LINFESTY
  • NPI Number: 1215917810
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0690796
LAB Type Physician Office
Facility Name UC DAVIS MEDICAL GROUP-CARMICHAEL
Street 7551 MADISON AVE
City CITRUS HEIGHTS
State CA
ZIP 95610
Phone 916 904-3035
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director DANIEL LINFESTY

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This page was last updated on: 3/20/2025