05D0871354 CLIA NUMBER - SPECIALTY CARE AND SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D0871354
  • Facility Name: SPECIALTY CARE AND SURGERY CENTER
  • Facility Address: 5685 MAIN STREET
    KELSEYVILLE, CA
    ZIP 95451
  • Facility Phone: 707 279-8733
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAULA R. DHANDA
  • NPI Number: 1184844607
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0871354
LAB Type Physician Office
Facility Name SPECIALTY CARE AND SURGERY CENTER
Street 5685 MAIN STREET
City KELSEYVILLE
State CA
ZIP 95451
Phone 707 279-8733
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 6/2/2025
Certificate Expiration Date 6/1/2027
Facility Type Physician Office
Lab Director PAULA R. DHANDA

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