05D2091158 CLIA NUMBER - JESSE G DEFRESE DC

Laboratory Demographics

  • CLIA Code: 05D2091158
  • Facility Name: JESSE G DEFRESE DC
  • Facility Address: 423 F ST STE 109
    DAVIS, CA
    ZIP 95616
  • Facility Phone: 530 758-8654
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSE DEFRESE
  • NPI Number: 1578652913
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 05D2091158
LAB Type Physician Office
Facility Name JESSE G DEFRESE DC
Street 423 F ST STE 109
City DAVIS
State CA
ZIP 95616
Phone 530 758-8654
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/6/2025
Certificate Expiration Date 2/5/2027
Facility Type Physician Office
Lab Director JESSE DEFRESE

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