05D0968076 CLIA NUMBER - ENLOE WOMEN'S SERVICES 2ND AVENUE

Laboratory Demographics

  • CLIA Code: 05D0968076
  • Facility Name: ENLOE WOMEN'S SERVICES 2ND AVENUE
  • Facility Address: 101 WEST 2ND AVE
    CHICO, CA
    ZIP 95926
  • Facility Phone: 530 332-7372
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AKIBA E. GREEN
  • NPI Number: 1598751786
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D0968076
LAB Type Physician Office
Facility Name ENLOE WOMEN'S SERVICES 2ND AVENUE
Street 101 WEST 2ND AVE
City CHICO
State CA
ZIP 95926
Phone 530 332-7372
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 12/2/2023
Certificate Expiration Date 12/1/2025
Facility Type Physician Office
Lab Director AKIBA E. GREEN

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