05D0895787 CLIA NUMBER - UC DAVIS DERMATOLOGY, MOHS LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0895787
  • Facility Name: UC DAVIS DERMATOLOGY, MOHS LABORATORY
  • Facility Address: 3301 C ST, STE 1356
    SACRAMENTO, CA
    ZIP 95816
  • Facility Phone: 916 551-2688
  • Facility Type: Hospital
  • Facility Type: Certificate of Compliance
  • Lab Director: DANIEL B. EISEN MD
  • NPI Number: 1285259283
  • Taxonomy: 133V00000X - Dietitian, Registered

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CLIA Record

Field Name Field Value
CLIA Number 05D0895787
LAB Type Hospital
Facility Name UC DAVIS DERMATOLOGY, MOHS LABORATORY
Street 3301 C ST, STE 1356
City SACRAMENTO
State CA
ZIP 95816
Phone 916 551-2688
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 4/22/2023
Certificate Expiration Date 10/31/2025
Facility Type Hospital
Lab Director DANIEL B. EISEN MD

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