05D1037525 CLIA NUMBER - JUDITH BRANDT DO INC

Laboratory Demographics

  • CLIA Code: 05D1037525
  • Facility Name: JUDITH BRANDT DO INC
  • Facility Address: 3070 CAMINO HEIGHTS DRIVE, # B
    CAMINO, CA
    ZIP 95709
  • Facility Phone: 530 647-9762
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: JUDITH E. BRANDT DO
  • NPI Number: 1750363966
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1037525
LAB Type Rural Health Clinic
Facility Name JUDITH BRANDT DO INC
Street 3070 CAMINO HEIGHTS DRIVE, # B
City CAMINO
State CA
ZIP 95709
Phone 530 647-9762
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 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Rural Health Clinic
Lab Director JUDITH E. BRANDT DO

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