05D0977768 CLIA NUMBER - DOUGLAS YOUNG, MD INC

Laboratory Demographics

  • CLIA Code: 05D0977768
  • Facility Name: DOUGLAS YOUNG, MD INC
  • Facility Address: 3840 WATT AVE, BLDG E
    SACRAMENTO, CA
    ZIP 95821
  • Facility Phone: 916 488-6200
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DOUGLAS G. YOUNG MD
  • NPI Number: 1346340296
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0977768
LAB Type Physician Office
Facility Name DOUGLAS YOUNG, MD INC
Street 3840 WATT AVE, BLDG E
City SACRAMENTO
State CA
ZIP 95821
Phone 916 488-6200
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 5/1/2024
Certificate Expiration Date 4/30/2026
Facility Type Physician Office
Lab Director DOUGLAS G. YOUNG MD

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