05D2113290 CLIA NUMBER - RANDAL SLOOP MD INC

Laboratory Demographics

  • CLIA Code: 05D2113290
  • Facility Name: RANDAL SLOOP MD INC
  • Facility Address: 2575 FOREST AVE
    CHICO, CA
    ZIP 95928
  • Facility Phone: 530 809-0009
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JAY RANDAL SLOOP, MD
  • NPI Number: 1538521125
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2113290
LAB Type Physician Office
Facility Name RANDAL SLOOP MD INC
Street 2575 FOREST AVE
City CHICO
State CA
ZIP 95928
Phone 530 809-0009
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/18/2024
Certificate Expiration Date 5/17/2026
Facility Type Physician Office
Lab Director JAY RANDAL SLOOP, MD

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