05D2165913 CLIA NUMBER - VALLEY SPRINGS HEALTH & WELLNESS CENTER

Laboratory Demographics

CLIA Number: 05D2165913

Facility Name: VALLEY SPRINGS HEALTH & WELLNESS CENTER

Facility Address:
51 WELLNESS WAY
VALLEY SPRINGS, CA
ZIP 95252
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Facility Phone Number: 209 772-7070

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1306311329

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2165913
LAB Type	Rural Health Clinic
Facility Name	VALLEY SPRINGS HEALTH & WELLNESS CENTER
Street	51 WELLNESS WAY
City	VALLEY SPRINGS
State	CA
ZIP	95252
Phone	209 772-7070
CertificateType	4
CertificateEffectiveDate	5/7/2023
CertificateExpirationDate	5/6/2025
FacilityType	Waiver

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