05D1007814 CLIA NUMBER - KATHLEEN T SULLIVAN MD

Laboratory Demographics

  • CLIA Code: 05D1007814
  • Facility Name: KATHLEEN T SULLIVAN MD
  • Facility Address: 194 COHASSET RD
    CHICO, CA
    ZIP 95926
  • Facility Phone: 530 893-2303
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KATHLEEN T. SULLIVAN MD
  • NPI Number: 1245236199
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1007814
LAB Type Physician Office
Facility Name KATHLEEN T SULLIVAN MD
Street 194 COHASSET RD
City CHICO
State CA
ZIP 95926
Phone 530 893-2303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Physician Office
Lab Director KATHLEEN T. SULLIVAN MD

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