05D2079397 CLIA NUMBER - JAY PATT DC

Laboratory Demographics

  • CLIA Code: 05D2079397
  • Facility Name: JAY PATT DC
  • Facility Address: 123 MARGARET LN STE A2
    GRASS VALLEY, CA
    ZIP 95945
  • Facility Phone: 530 477-6252
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JAY PATT
  • NPI Number: 1871685941
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 05D2079397
LAB Type Practitioner Other
Facility Name JAY PATT DC
Street 123 MARGARET LN STE A2
City GRASS VALLEY
State CA
ZIP 95945
Phone 530 477-6252
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/16/2024
Certificate Expiration Date 6/15/2026
Facility Type Practitioner Other
Lab Director JAY PATT

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