05D1082132 CLIA NUMBER - NATIVITY PEDIATRICS, INC

Laboratory Demographics

  • CLIA Code: 05D1082132
  • Facility Name: NATIVITY PEDIATRICS, INC
  • Facility Address: 740 OAK AVE PKWY, SUITE 145
    FOLSOM, CA
    ZIP 95630
  • Facility Phone: 916 984-9588
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EULE N. BIYO MD
  • NPI Number: 1770739989
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1082132
LAB Type Physician Office
Facility Name NATIVITY PEDIATRICS, INC
Street 740 OAK AVE PKWY, SUITE 145
City FOLSOM
State CA
ZIP 95630
Phone 916 984-9588
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2025
Certificate Expiration Date 3/5/2027
Facility Type Physician Office
Lab Director EULE N. BIYO MD

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