05D1072456 CLIA NUMBER - NORTH VALLEY NEPHROLOGY

Laboratory Demographics

CLIA Number: 05D1072456

Facility Name: NORTH VALLEY NEPHROLOGY

Facility Address:
1525 PLUMAS COURT STE B
YUBA CITY, CA
ZIP 95991
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Facility Phone Number: 530 822-5575

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1962971176

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name	Field Value
CLIA Number	05D1072456
LAB Type	Physician Office
Facility Name	NORTH VALLEY NEPHROLOGY
Street	1525 PLUMAS COURT STE B
City	YUBA CITY
State	CA
ZIP	95991
Phone	530 822-5575
CertificateType	4
CertificateEffectiveDate	8/16/2023
CertificateExpirationDate	8/15/2025
FacilityType	Waiver

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