05D0877836 CLIA NUMBER - MICHAEL J FAHEY MD

Laboratory Demographics

  • CLIA Code: 05D0877836
  • Facility Name: MICHAEL J FAHEY MD
  • Facility Address: 481 PLUMAS STREET SUITE 103
    YUBA CITY, CA
    ZIP 95991
  • Facility Phone: 530 751-1230
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL J. FAHEY
  • NPI Number: 1851403109
  • Taxonomy: 2086S0127X - Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D0877836
LAB Type Physician Office
Facility Name MICHAEL J FAHEY MD
Street 481 PLUMAS STREET SUITE 103
City YUBA CITY
State CA
ZIP 95991
Phone 530 751-1230
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2025
Certificate Expiration Date 10/11/2027
Facility Type Physician Office
Lab Director MICHAEL J. FAHEY

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