05D0908474 CLIA NUMBER - JONATHAN W WHEELER MD

Laboratory Demographics

  • CLIA Code: 05D0908474
  • Facility Name: JONATHAN W WHEELER MD
  • Facility Address: 999 ADAMS STREET, SUITE 200
    SAINT HELENA, CA
    ZIP 94574
  • Facility Phone: 707 963-3658
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JONATHAN W. WHEELER MD
  • NPI Number: 1013919752
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0908474
LAB Type Physician Office
Facility Name JONATHAN W WHEELER MD
Street 999 ADAMS STREET, SUITE 200
City SAINT HELENA
State CA
ZIP 94574
Phone 707 963-3658
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 4/9/2024
Certificate Expiration Date 4/8/2026
Facility Type Physician Office
Lab Director JONATHAN W. WHEELER MD

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