05D0947611 CLIA NUMBER - DAVID CHAPPELL MD MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D0947611
  • Facility Name: DAVID CHAPPELL MD MEDICAL CORPORATION
  • Facility Address: 141 LYNCH CREEK WAY, STE A
    PETALUMA, CA
    ZIP 94954
  • Facility Phone: 707 762-0001
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID A. CHAPPELL
  • NPI Number: 1598732463
  • Taxonomy: 207RE0101X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D0947611
LAB Type Physician Office
Facility Name DAVID CHAPPELL MD MEDICAL CORPORATION
Street 141 LYNCH CREEK WAY, STE A
City PETALUMA
State CA
ZIP 94954
Phone 707 762-0001
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/19/2024
Certificate Expiration Date 6/18/2026
Facility Type Physician Office
Lab Director DAVID A. CHAPPELL

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