05D2127946 CLIA NUMBER - ORCHARD HOSPITAL MEDICAL SPECIALTY CENTER - OROVILLE

Laboratory Demographics

CLIA Number: 05D2127946

Facility Name: ORCHARD HOSPITAL MEDICAL SPECIALTY CENTER - OROVILLE

Facility Address:
2990 ORO DAM BLVD E STE A
OROVILLE, CA
ZIP 95966
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Facility Phone Number: 530 353-3332

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1689023392

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2127946
LAB Type	Rural Health Clinic
Facility Name	ORCHARD HOSPITAL MEDICAL SPECIALTY CENTER - OROVILLE
Street	2990 ORO DAM BLVD E STE A
City	OROVILLE
State	CA
ZIP	95966
Phone	530 353-3332
CertificateType	4
CertificateEffectiveDate	3/22/2023
CertificateExpirationDate	3/21/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024