05D2063710 CLIA NUMBER - ADVENTIST HEALTH PHYSICIAN NETWORK

Laboratory Demographics

  • CLIA Code: 05D2063710
  • Facility Name: ADVENTIST HEALTH PHYSICIAN NETWORK
  • Facility Address: 900 THARP ROAD
    YUBA CITY, CA
    ZIP 95993
  • Facility Phone: 530 844-5655
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GREGORY W. BURT
  • NPI Number: 1891450987
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2063710
LAB Type Physician Office
Facility Name ADVENTIST HEALTH PHYSICIAN NETWORK
Street 900 THARP ROAD
City YUBA CITY
State CA
ZIP 95993
Phone 530 844-5655
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 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Physician Office
Lab Director GREGORY W. BURT

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This page was last updated on: 6/4/2025