05D2031165 CLIA NUMBER - BRENT LOFTIS, DO, INC.

Laboratory Demographics

  • CLIA Code: 05D2031165
  • Facility Name: BRENT LOFTIS, DO, INC.
  • Facility Address: 3230 BEARD RD. STE. 2
    NAPA, CA
    ZIP 94558
  • Facility Phone: 707 203-2781
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BRENT LOFTIS
  • NPI Number: 1639348683
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D2031165
LAB Type Physician Office
Facility Name BRENT LOFTIS, DO, INC.
Street 3230 BEARD RD. STE. 2
City NAPA
State CA
ZIP 94558
Phone 707 203-2781
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 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Physician Office
Lab Director BRENT LOFTIS

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