05D1021511 CLIA NUMBER - UC DAVIS DERMATOPATHOLOGY SERVICE

Laboratory Demographics

CLIA Number: 05D1021511

Facility Name: UC DAVIS DERMATOPATHOLOGY SERVICE

Facility Address:
3301 C ST STE 1450
SACRAMENTO, CA
ZIP 95816
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Facility Phone Number: 916 734-6107

Facility Type: Other - UC

Certificate Type: Accreditation

NPI Number: 1285259283

Taxonomy: 133V00000X - Dietitian, Registered
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

CLIA Record

Field Name	Field Value
CLIA Number	05D1021511
LAB Type	Other - UC
Facility Name	UC DAVIS DERMATOPATHOLOGY SERVICE
Street	3301 C ST STE 1450
City	SACRAMENTO
State	CA
ZIP	95816
Phone	916 734-6107
CertificateType	1
CertificateEffectiveDate	11/14/2022
CertificateExpirationDate	11/13/2024
FacilityType	Accreditation

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This page was last updated on: 4/23/2024