05D2094631 CLIA NUMBER - NAPA VALLEY COLLEGE STUDENT HEALTH CENTER

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Laboratory Demographics

CLIA Number: 05D2094631

Facility Name: NAPA VALLEY COLLEGE STUDENT HEALTH CENTER

Facility Address:
2277 NAPA VALLEJO HWY STUDENT HEALTH CENTER BLDG 2250
NAPA, CA
ZIP 94558
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Facility Phone Number: 707 256-7780

Facility Type: School/Student Health Service

Certificate Type: Waiver

NPI Number: 1538562996

Taxonomy: 261QS1000X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2094631
LAB Type	School/Student Health Service
Facility Name	NAPA VALLEY COLLEGE STUDENT HEALTH CENTER
Street	2277 NAPA VALLEJO HWY STUDENT HEALTH CENTER BLDG 2250
City	NAPA
State	CA
ZIP	94558
Phone	707 256-7780
CertificateType	4
CertificateEffectiveDate	4/21/2023
CertificateExpirationDate	4/20/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024