05D1000609 CLIA NUMBER - ELISA BROWN MD

Laboratory Demographics

  • CLIA Code: 05D1000609
  • Facility Name: ELISA BROWN MD
  • Facility Address: 194 COHASSET ROAD
    CHICO, CA
    ZIP 95926
  • Facility Phone: 530 342-4860
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELISA C. BROWN
  • NPI Number: 1376546846
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1000609
LAB Type Physician Office
Facility Name ELISA BROWN MD
Street 194 COHASSET ROAD
City CHICO
State CA
ZIP 95926
Phone 530 342-4860
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2024
Certificate Expiration Date 6/17/2026
Facility Type Physician Office
Lab Director ELISA C. BROWN

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