05D0873404 CLIA NUMBER - AMPLA HEALTH

Laboratory Demographics

  • CLIA Code: 05D0873404
  • Facility Name: AMPLA HEALTH
  • Facility Address: 935 MARKET ST
    YUBA CITY, CA
    ZIP 95991
  • Facility Phone: 530 674-4261
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: MUSTAFA AMMAR
  • NPI Number: 1811329899
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0873404
LAB Type Community Clinic
Facility Name AMPLA HEALTH
Street 935 MARKET ST
City YUBA CITY
State CA
ZIP 95991
Phone 530 674-4261
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 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Community Clinic
Lab Director MUSTAFA AMMAR

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