05D1084845 CLIA NUMBER - RUTH HASKINS, MD, INC

Laboratory Demographics

  • CLIA Code: 05D1084845
  • Facility Name: RUTH HASKINS, MD, INC
  • Facility Address: 1611 CREEKSIDE DRIVE, SUITE 103
    FOLSOM, CA
    ZIP 95630
  • Facility Phone: 916 217-2649
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RUTH E. HASKINS, MD
  • NPI Number: 1124009147
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D1084845
LAB Type Physician Office
Facility Name RUTH HASKINS, MD, INC
Street 1611 CREEKSIDE DRIVE, SUITE 103
City FOLSOM
State CA
ZIP 95630
Phone 916 217-2649
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 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Physician Office
Lab Director RUTH E. HASKINS, MD

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