05D0994419 CLIA NUMBER - SIERRA ENDOSCOPY CENTER INC

Laboratory Demographics

  • CLIA Code: 05D0994419
  • Facility Name: SIERRA ENDOSCOPY CENTER INC
  • Facility Address: 300 SIERRA COLLEGE BLVD SUITE 105
    GRASS VALLEY, CA
    ZIP 95945
  • Facility Phone: 530 272-0527
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ASLAM C. GODIL
  • NPI Number: 1760440515
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0994419
LAB Type Other
Facility Name SIERRA ENDOSCOPY CENTER INC
Street 300 SIERRA COLLEGE BLVD SUITE 105
City GRASS VALLEY
State CA
ZIP 95945
Phone 530 272-0527
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Other
Lab Director ASLAM C. GODIL

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