05D2046797 CLIA NUMBER - EUREKA VA CBOC

Laboratory Demographics

  • CLIA Code: 05D2046797
  • Facility Name: EUREKA VA CBOC
  • Facility Address: 930 W HARRIS STREET
    EUREKA, CA
    ZIP 95503
  • Facility Phone: 707 269-7500
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: TIFFANY CHAMBERS
  • NPI Number: 1669425013
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2046797
LAB Type Community Clinic
Facility Name EUREKA VA CBOC
Street 930 W HARRIS STREET
City EUREKA
State CA
ZIP 95503
Phone 707 269-7500
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/12/2012
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director TIFFANY CHAMBERS

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