05D1013415 CLIA NUMBER - VIMALI PAUL MD

Laboratory Demographics

  • CLIA Code: 05D1013415
  • Facility Name: VIMALI PAUL MD
  • Facility Address: 85 DECLARATION DRIVE, SUITE 110
    CHICO, CA
    ZIP 95973
  • Facility Phone: 530 894-6600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAUL VIMALI MD
  • NPI Number: 1700881448
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1013415
LAB Type Physician Office
Facility Name VIMALI PAUL MD
Street 85 DECLARATION DRIVE, SUITE 110
City CHICO
State CA
ZIP 95973
Phone 530 894-6600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2023
Certificate Expiration Date 6/9/2025
Facility Type Physician Office
Lab Director PAUL VIMALI MD

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This page was last updated on: 3/20/2025