05D2173599 CLIA NUMBER - RIDGE EYE CARE INC DBA TABLE MOUNTAIN EYE CARE

Laboratory Demographics

  • CLIA Code: 05D2173599
  • Facility Name: RIDGE EYE CARE INC DBA TABLE MOUNTAIN EYE CARE
  • Facility Address: 2585 ORO DAM BOULEVARD
    OROVILLE, CA
    ZIP 95966
  • Facility Phone: 530 924-0749
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOEL I. BARTHELOW
  • NPI Number: 1194195883
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 05D2173599
LAB Type Physician Office
Facility Name RIDGE EYE CARE INC DBA TABLE MOUNTAIN EYE CARE
Street 2585 ORO DAM BOULEVARD
City OROVILLE
State CA
ZIP 95966
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 10/16/2023
Certificate Expiration Date 10/15/2025
Facility Type Physician Office
Lab Director JOEL I. BARTHELOW

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