05D2087752 CLIA NUMBER - PREMIER OBGYN NAPA INC

Laboratory Demographics

  • CLIA Code: 05D2087752
  • Facility Name: PREMIER OBGYN NAPA INC
  • Facility Address: 3030 BEARD RD STE C
    NAPA, CA
    ZIP 94558
  • Facility Phone: 707 681-1545
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REBECCA LEVY-GANTT
  • NPI Number: 1134530405
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2087752
LAB Type Physician Office
Facility Name PREMIER OBGYN NAPA INC
Street 3030 BEARD RD STE C
City NAPA
State CA
ZIP 94558
Phone 707 681-1545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Physician Office
Lab Director REBECCA LEVY-GANTT

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