05D0947558 CLIA NUMBER - JOHN WILLIAMS DO

Laboratory Demographics

  • CLIA Code: 05D0947558
  • Facility Name: JOHN WILLIAMS DO
  • Facility Address: 1772 SOUTH MAIN STREET
    WILLITS, CA
    ZIP 95490
  • Facility Phone: 707 459-5585
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JOHN P. WILLIAMS DO
  • NPI Number: 1144220369
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0947558
LAB Type Practitioner Other
Facility Name JOHN WILLIAMS DO
Street 1772 SOUTH MAIN STREET
City WILLITS
State CA
ZIP 95490
Phone 707 459-5585
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/20/2024
Certificate Expiration Date 6/19/2026
Facility Type Practitioner Other
Lab Director JOHN P. WILLIAMS DO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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