05D1098788 CLIA NUMBER - MADELYN HOLZMAN, MD

Laboratory Demographics

  • CLIA Code: 05D1098788
  • Facility Name: MADELYN HOLZMAN, MD
  • Facility Address: 572 RIO LINDO AVENUE SUITE 201
    CHICO, CA
    ZIP 95926
  • Facility Phone: 530 893-1127
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MADELYN HOLZMAN, MD
  • NPI Number: 1184624769
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 05D1098788
LAB Type Physician Office
Facility Name MADELYN HOLZMAN, MD
Street 572 RIO LINDO AVENUE SUITE 201
City CHICO
State CA
ZIP 95926
Phone 530 893-1127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Physician Office
Lab Director MADELYN HOLZMAN, MD

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