05D2171290 CLIA NUMBER - PREMIER HEALTH PRACTICE

Laboratory Demographics

  • CLIA Code: 05D2171290
  • Facility Name: PREMIER HEALTH PRACTICE
  • Facility Address: 3579 ORO DAM ROAD
    OROVILLE, CA
    ZIP 95966
  • Facility Phone: 530 532-8321
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MARK HEINRICH
  • NPI Number: 1659849529
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2171290
LAB Type Community Clinic
Facility Name PREMIER HEALTH PRACTICE
Street 3579 ORO DAM ROAD
City OROVILLE
State CA
ZIP 95966
Phone 530 532-8321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/28/2025
Certificate Expiration Date 8/27/2027
Facility Type Community Clinic
Lab Director MARK HEINRICH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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