05D0926893 CLIA NUMBER - ADVENTIST HEALTH CLEARLAKE HOSPITAL, INC DBA ADVENTIST HEALTH CLEAR LAKE

Laboratory Demographics

  • CLIA Code: 05D0926893
  • Facility Name: ADVENTIST HEALTH CLEARLAKE HOSPITAL, INC DBA ADVENTIST HEALTH CLEAR LAKE
  • Facility Address: 5125 SKYWAY
    PARADISE, CA
    ZIP 95969
  • Facility Phone: 707 995-5778
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: THEODORE E. ZWERDLING
  • NPI Number: 1114582020
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0926893
LAB Type Rural Health Clinic
Facility Name ADVENTIST HEALTH CLEARLAKE HOSPITAL, INC DBA ADVENTIST HEALTH CLEAR LAKE
Street 5125 SKYWAY
City PARADISE
State CA
ZIP 95969
Phone 707 995-5778
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 10/8/2025
Certificate Expiration Date 10/7/2027
Facility Type Rural Health Clinic
Lab Director THEODORE E. ZWERDLING

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