05D2077770 CLIA NUMBER - SUTTER COUNTY PEACH TREE CLINIC

Laboratory Demographics

  • CLIA Code: 05D2077770
  • Facility Name: SUTTER COUNTY PEACH TREE CLINIC
  • Facility Address: 1275 THARP RD
    YUBA CITY, CA
    ZIP 95993
  • Facility Phone: 530 749-3242
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: GINA ROSSETTI
  • NPI Number: 1467103358
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2077770
LAB Type Federally Qualified Health Center
Facility Name SUTTER COUNTY PEACH TREE CLINIC
Street 1275 THARP RD
City YUBA CITY
State CA
ZIP 95993
Phone 530 749-3242
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 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Federally Qualified Health Center
Lab Director GINA ROSSETTI

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