05D2165665 CLIA NUMBER - WOMEN'S OBGYN INC

Laboratory Demographics

  • CLIA Code: 05D2165665
  • Facility Name: WOMEN'S OBGYN INC
  • Facility Address: 1111 SONOMA AVENUE, # 202
    SANTA ROSA, CA
    ZIP 95404
  • Facility Phone: 707 575-1626
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LELA M. EMAD
  • NPI Number: 1316439979
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2165665
LAB Type Physician Office
Facility Name WOMEN'S OBGYN INC
Street 1111 SONOMA AVENUE, # 202
City SANTA ROSA
State CA
ZIP 95404
Phone 707 575-1626
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Physician Office
Lab Director LELA M. EMAD

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