05D1015461 CLIA NUMBER - HANSEN FAMILY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D1015461
  • Facility Name: HANSEN FAMILY HEALTH CENTER
  • Facility Address: 215 W. BEAMER ST
    WOODLAND, CA
    ZIP 95695
  • Facility Phone: 530 285-3216
  • Facility Type: Community Clinic
  • Facility Type: Microscopy
  • Lab Director: WETONA SUZANNE EIDSON-TON
  • NPI Number: 1558469064
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1015461
LAB Type Community Clinic
Facility Name HANSEN FAMILY HEALTH CENTER
Street 215 W. BEAMER ST
City WOODLAND
State CA
ZIP 95695
Phone 530 285-3216
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 7/31/2025
Certificate Expiration Date 7/30/2027
Facility Type Community Clinic
Lab Director WETONA SUZANNE EIDSON-TON

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