05D2055168 CLIA NUMBER - BI-VALLEY MEDICAL CLINIC INC

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Laboratory Demographics

CLIA Number: 05D2055168

Facility Name: BI-VALLEY MEDICAL CLINIC INC

Facility Address:
6127 FAIR OAKS BLVD
CARMICHAEL, CA
ZIP 95608
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Facility Phone Number: (916) 974-8090

Facility Type: OTHER

Certificate Type: Waiver

NPI Number: 1962423889

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	05D2055168
LAB Type	OTHER
Facility Name	BI-VALLEY MEDICAL CLINIC INC
Street	6127 FAIR OAKS BLVD
City	CARMICHAEL
State	CA
ZIP	95608
Phone	(916) 974-8090

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This page was last updated on: 5/11/2023