05D2055168 CLIA NUMBER - Bi-Valley Medical Clinic Inc

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: 12/19/2019