05D2094607 CLIA NUMBER - WILLITS HOSPITAL INC

Laboratory Demographics

  • CLIA Code: 05D2094607
  • Facility Name: WILLITS HOSPITAL INC
  • Facility Address: 3 MARCELA DR
    WILLITS, CA
    ZIP 95490
  • Facility Phone: 707 459-6115
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: ANDREA MCCULLOUGH
  • NPI Number: 1437551652
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2094607
LAB Type Rural Health Clinic
Facility Name WILLITS HOSPITAL INC
Street 3 MARCELA DR
City WILLITS
State CA
ZIP 95490
Phone 707 459-6115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Rural Health Clinic
Lab Director ANDREA MCCULLOUGH

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