05D0941047 CLIA NUMBER - DAHLIA BU MD

Laboratory Demographics

  • CLIA Code: 05D0941047
  • Facility Name: DAHLIA BU MD
  • Facility Address: 5525 DEWEY DR, #108
    FAIR OAKS, CA
    ZIP 95628
  • Facility Phone: 916 961-2800
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAHLIA M. BU
  • NPI Number: 1770754087
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D0941047
LAB Type Physician Office
Facility Name DAHLIA BU MD
Street 5525 DEWEY DR, #108
City FAIR OAKS
State CA
ZIP 95628
Phone 916 961-2800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Physician Office
Lab Director DAHLIA M. BU

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