05D0911275 CLIA NUMBER - PREMIER HEALTH CARE

Laboratory Demographics

CLIA Number: 05D0911275

Facility Name: PREMIER HEALTH CARE

Facility Address:
900 ORO DAM BLVD
OROVILLE, CA
ZIP 95965
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Facility Phone Number: 530 532-8321

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1780788018

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	05D0911275
LAB Type	Rural Health Clinic
Facility Name	PREMIER HEALTH CARE
Street	900 ORO DAM BLVD
City	OROVILLE
State	CA
ZIP	95965
Phone	530 532-8321
CertificateType	4
CertificateEffectiveDate	7/31/2022
CertificateExpirationDate	7/30/2024
FacilityType	Waiver

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