05D1028091 CLIA NUMBER - SANJIV MIDHA MD

Laboratory Demographics

  • CLIA Code: 05D1028091
  • Facility Name: SANJIV MIDHA MD
  • Facility Address: 1215 PLUMAS STREET, SUITE 1900
    YUBA CITY, CA
    ZIP 95991
  • Facility Phone: 530 674-2100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANJIV K. MIDHA MD
  • NPI Number: 1265476014
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1028091
LAB Type Physician Office
Facility Name SANJIV MIDHA MD
Street 1215 PLUMAS STREET, SUITE 1900
City YUBA CITY
State CA
ZIP 95991
Phone 530 674-2100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/20/2024
Certificate Expiration Date 7/19/2026
Facility Type Physician Office
Lab Director SANJIV K. MIDHA MD

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