05D0988241 CLIA NUMBER - VA NORTHERN CALIFORNIA HCS-MATHER DIVISION

Laboratory Demographics

  • CLIA Code: 05D0988241
  • Facility Name: VA NORTHERN CALIFORNIA HCS-MATHER DIVISION
  • Facility Address: 10535 HOSPITAL WAY
    MATHER, CA
    ZIP 95655
  • Facility Phone: 916 843-7235
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: KRISTEN VANDEWALKER
  • NPI Number: 1457714362
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0988241
LAB Type Hospital
Facility Name VA NORTHERN CALIFORNIA HCS-MATHER DIVISION
Street 10535 HOSPITAL WAY
City MATHER
State CA
ZIP 95655
Phone 916 843-7235
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/22/2001
Certificate Expiration Date 5/22/2026
Facility Type Hospital
Lab Director KRISTEN VANDEWALKER

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