05D2030692 CLIA NUMBER - ARTEMEDICA

Laboratory Demographics

  • CLIA Code: 05D2030692
  • Facility Name: ARTEMEDICA
  • Facility Address: 1002 MENDOCINO AVE
    SANTA ROSA, CA
    ZIP 95401
  • Facility Phone: 707 577-8292
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VICTOR G. LACOMBE, MD
  • NPI Number: 1235426982
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D2030692
LAB Type Physician Office
Facility Name ARTEMEDICA
Street 1002 MENDOCINO AVE
City SANTA ROSA
State CA
ZIP 95401
Phone 707 577-8292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2024
Certificate Expiration Date 5/14/2026
Facility Type Physician Office
Lab Director VICTOR G. LACOMBE, MD

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