05D0906229 CLIA NUMBER - GARY DECRONA, MD

Laboratory Demographics

CLIA Number: 05D0906229

Facility Name: GARY DECRONA, MD

Facility Address:
1369 SOUTH DORA STREET
UKIAH, CA
ZIP 95482
Get Directions

Facility Phone Number: 707 462-9792

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1578589214

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D0906229
LAB Type	Physician Office
Facility Name	GARY DECRONA, MD
Street	1369 SOUTH DORA STREET
City	UKIAH
State	CA
ZIP	95482
Phone	707 462-9792
CertificateType	3
CertificateEffectiveDate	9/29/2023
CertificateExpirationDate	9/28/2025
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024