05D0710557 CLIA NUMBER - ORCHARD HOSPITAL CARDIOPULMONARY

Laboratory Demographics

  • CLIA Code: 05D0710557
  • Facility Name: ORCHARD HOSPITAL CARDIOPULMONARY
  • Facility Address: 240 SPRUCE ST
    GRIDLEY, CA
    ZIP 95948
  • Facility Phone: 530 846-9046
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. GREGORY ISHIMOTO MD
  • NPI Number: 1578708285
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0710557
LAB Type Ancillary Testing Site in Health Care Center
Facility Name ORCHARD HOSPITAL CARDIOPULMONARY
Street 240 SPRUCE ST
City GRIDLEY
State CA
ZIP 95948
Phone 530 846-9046
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/19/2022
Certificate Expiration Date 10/31/2025
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. GREGORY ISHIMOTO MD

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