05D1053563 CLIA NUMBER - RUTH WILSON MD

Laboratory Demographics

  • CLIA Code: 05D1053563
  • Facility Name: RUTH WILSON MD
  • Facility Address: 980 TRANCAS ST #12
    NAPA, CA
    ZIP 94558
  • Facility Phone: 707 255-3583
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUTH WILSON
  • NPI Number: 1407822331
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1053563
LAB Type Physician Office
Facility Name RUTH WILSON MD
Street 980 TRANCAS ST #12
City NAPA
State CA
ZIP 94558
Phone 707 255-3583
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2024
Certificate Expiration Date 4/26/2026
Facility Type Physician Office
Lab Director RUTH WILSON

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