05D2152236 CLIA NUMBER - AMY'S FAMILY HEALTH CENTER

Laboratory Demographics

CLIA Number: 05D2152236

Facility Name: AMY'S FAMILY HEALTH CENTER

Facility Address:
2220 NORTHPOINT PARKWAY
SANTA ROSA, CA
ZIP 95407
Get Directions

Facility Phone Number: 707 526-3180

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1700379682

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2152236
LAB Type	Physician Office
Facility Name	AMY'S FAMILY HEALTH CENTER
Street	2220 NORTHPOINT PARKWAY
City	SANTA ROSA
State	CA
ZIP	95407
Phone	707 526-3180
CertificateType	4
CertificateEffectiveDate	2/17/2023
CertificateExpirationDate	2/16/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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