05D2160389 CLIA NUMBER - RIDGE EYE CARE, INC DBA ROYO EYE CARE

Laboratory Demographics

  • CLIA Code: 05D2160389
  • Facility Name: RIDGE EYE CARE, INC DBA ROYO EYE CARE
  • Facility Address: 320 H STREET #4
    MARYSVILLE, CA
    ZIP 95901
  • Facility Phone: 530 924-0749
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: J ISSAC BARTHELOW
  • NPI Number: 1255412078
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 05D2160389
LAB Type Physician Office
Facility Name RIDGE EYE CARE, INC DBA ROYO EYE CARE
Street 320 H STREET #4
City MARYSVILLE
State CA
ZIP 95901
Phone 530 924-0749
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Physician Office
Lab Director J ISSAC BARTHELOW

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