05D2079164 CLIA NUMBER - ANDREA WILLEY MD PMC

Laboratory Demographics

  • CLIA Code: 05D2079164
  • Facility Name: ANDREA WILLEY MD PMC
  • Facility Address: 2277 FAIR OAKS BLVD STE 402
    SACRAMENTO, CA
    ZIP 95825
  • Facility Phone: 916 922-7546
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ANDREA WILLEY MD
  • NPI Number: 1952317455
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D2079164
LAB Type Physician Office
Facility Name ANDREA WILLEY MD PMC
Street 2277 FAIR OAKS BLVD STE 402
City SACRAMENTO
State CA
ZIP 95825
Phone 916 922-7546
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/10/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director ANDREA WILLEY MD

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