05D0975257 CLIA NUMBER - MICHAEL ANDYA MD

Laboratory Demographics

  • CLIA Code: 05D0975257
  • Facility Name: MICHAEL ANDYA MD
  • Facility Address: 101 MARGARET LANE
    GRASS VALLEY, CA
    ZIP 95945
  • Facility Phone: 530 273-2221
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHAEL D. ANDYA MD
  • NPI Number: 1760428452
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0975257
LAB Type Physician Office
Facility Name MICHAEL ANDYA MD
Street 101 MARGARET LANE
City GRASS VALLEY
State CA
ZIP 95945
Phone 530 273-2221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/3/2024
Certificate Expiration Date 7/2/2026
Facility Type Physician Office
Lab Director MICHAEL D. ANDYA MD

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