05D2026096 CLIA NUMBER - CALIFORNIA OCCUPATIONAL MEDICAL PROFESSIONALS, INC

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Laboratory Demographics

CLIA Number: 05D2026096

Facility Name: CALIFORNIA OCCUPATIONAL MEDICAL PROFESSIONALS, INC

Facility Address:
1940 FEATHER RIVER BLVD., SUITE O
OROVILLE, CA
ZIP 95965
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Facility Phone Number: 530 534-5135

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144500562

Taxonomy: 261QX0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2026096
LAB Type	Physician Office
Facility Name	CALIFORNIA OCCUPATIONAL MEDICAL PROFESSIONALS, INC
Street	1940 FEATHER RIVER BLVD., SUITE O
City	OROVILLE
State	CA
ZIP	95965
Phone	530 534-5135
CertificateType	4
CertificateEffectiveDate	6/23/2023
CertificateExpirationDate	6/22/2025
FacilityType	Waiver

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