05D2124799 CLIA NUMBER - ADVENTIST HEALTH UKIAH VALLEY

Laboratory Demographics

  • CLIA Code: 05D2124799
  • Facility Name: ADVENTIST HEALTH UKIAH VALLEY
  • Facility Address: 248 HOSPITAL DR
    UKIAH, CA
    ZIP 95482
  • Facility Phone: 707 462-2924
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEOFFREY L. RICE
  • NPI Number: 1831640184
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 05D2124799
LAB Type Physician Office
Facility Name ADVENTIST HEALTH UKIAH VALLEY
Street 248 HOSPITAL DR
City UKIAH
State CA
ZIP 95482
Phone 707 462-2924
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/25/2025
Certificate Expiration Date 1/24/2027
Facility Type Physician Office
Lab Director GEOFFREY L. RICE

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