05D2108305 CLIA NUMBER - DOVE'S LANDING MULTI SPECIALTY PRACTICE

Laboratory Demographics

  • CLIA Code: 05D2108305
  • Facility Name: DOVE'S LANDING MULTI SPECIALTY PRACTICE
  • Facility Address: 2450 ORO DAM BLVD STE D
    OROVILLE, CA
    ZIP 95966
  • Facility Phone: 530 538-3091
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK T. HEINRICH
  • NPI Number: 1467880583
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2108305
LAB Type Physician Office
Facility Name DOVE'S LANDING MULTI SPECIALTY PRACTICE
Street 2450 ORO DAM BLVD STE D
City OROVILLE
State CA
ZIP 95966
Phone 530 538-3091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2024
Certificate Expiration Date 2/1/2026
Facility Type Physician Office
Lab Director MARK T. HEINRICH

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