05D2094903 CLIA NUMBER - MCAVHN CARE AND PREVENTION NETWORK

Laboratory Demographics

  • CLIA Code: 05D2094903
  • Facility Name: MCAVHN CARE AND PREVENTION NETWORK
  • Facility Address: 148 CLARA AVE
    UKIAH, CA
    ZIP 95482
  • Facility Phone: 707 462-1932
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: ACE BARASH
  • NPI Number: 1023541406
  • Taxonomy: 251B00000X - Case Management

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CLIA Record

Field Name Field Value
CLIA Number 05D2094903
LAB Type Independent
Facility Name MCAVHN CARE AND PREVENTION NETWORK
Street 148 CLARA AVE
City UKIAH
State CA
ZIP 95482
Phone 707 462-1932
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/27/2025
Certificate Expiration Date 4/26/2027
Facility Type Independent
Lab Director ACE BARASH

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