05D2114839 CLIA NUMBER - DIGNITY HEALTH SOLANO STREET MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 05D2114839
  • Facility Name: DIGNITY HEALTH SOLANO STREET MEDICAL CENTER
  • Facility Address: 2126 SOLANO ST
    CORNING, CA
    ZIP 96021
  • Facility Phone: 530 529-8217
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: TIKOES BLANKENBERG
  • NPI Number: 1609246461
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2114839
LAB Type Rural Health Clinic
Facility Name DIGNITY HEALTH SOLANO STREET MEDICAL CENTER
Street 2126 SOLANO ST
City CORNING
State CA
ZIP 96021
Phone 530 529-8217
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Rural Health Clinic
Lab Director TIKOES BLANKENBERG

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