05D2153690 CLIA NUMBER - FEATHER RIVER EYE CARE

Laboratory Demographics

CLIA Number: 05D2153690

Facility Name: FEATHER RIVER EYE CARE

Facility Address:
901 MAPLE AVENUE
YUBA CITY, CA
ZIP 95991
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Facility Phone Number: 530 674-8170

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1588826374

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2153690
LAB Type	Physician Office
Facility Name	FEATHER RIVER EYE CARE
Street	901 MAPLE AVENUE
City	YUBA CITY
State	CA
ZIP	95991
Phone	530 674-8170
CertificateType	4
CertificateEffectiveDate	8/28/2022
CertificateExpirationDate	8/27/2024
FacilityType	Waiver

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