05D0989411 CLIA NUMBER - REDWOOD COAST PACE

Laboratory Demographics

CLIA Code: 05D0989411
Facility Name: REDWOOD COAST PACE
Facility Address: 1901 CALIFORNIA ST
EUREKA, CA
ZIP 95501
Facility Phone: 707 443-9747
Facility Type: Other - P.A.C.E. CLINIC
Facility Type: Microscopy
Lab Director: JENNIFER A. HEIDMANN, MD
NPI Number: 1649607664
Taxonomy: 251T00000X - Program of All-Inclusive Care for the Elderly (PACE) Provider Organization

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CLIA Record

Field Name	Field Value
CLIA Number	05D0989411
LAB Type	Other - P.A.C.E. CLINIC
Facility Name	REDWOOD COAST PACE
Street	1901 CALIFORNIA ST
City	EUREKA
State	CA
ZIP	95501
Phone	707 443-9747
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	7/25/2025
Certificate Expiration Date	7/24/2027
Facility Type	Other - P.A.C.E. CLINIC
Lab Director	JENNIFER A. HEIDMANN, MD

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