05D0724336 CLIA NUMBER - GLENN COUNTY HEALTH SERVICES AGENCY

Laboratory Demographics

  • CLIA Code: 05D0724336
  • Facility Name: GLENN COUNTY HEALTH SERVICES AGENCY
  • Facility Address: 240 N VILLA AVE
    WILLOWS, CA
    ZIP 95988
  • Facility Phone: 530 934-6588
  • Facility Type: Other - PUBLIC HEALTH CLINIC
  • Facility Type: Waiver
  • Lab Director: JAMES CORONA
  • NPI Number: 1427196393
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0724336
LAB Type Other - PUBLIC HEALTH CLINIC
Facility Name GLENN COUNTY HEALTH SERVICES AGENCY
Street 240 N VILLA AVE
City WILLOWS
State CA
ZIP 95988
Phone 530 934-6588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Other - PUBLIC HEALTH CLINIC
Lab Director JAMES CORONA

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