05D2202674 CLIA NUMBER - ADVENTIST HEALTH PHYSICIANS NETWORK

Laboratory Demographics

  • CLIA Code: 05D2202674
  • Facility Name: ADVENTIST HEALTH PHYSICIANS NETWORK
  • Facility Address: 520 BOUGE ROAD
    YUBA CITY, CA
    ZIP 95991
  • Facility Phone: 530 844-5660
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: ZAKIAHMAD MAVLI
  • NPI Number: 1053870402
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2202674
LAB Type Practitioner Other
Facility Name ADVENTIST HEALTH PHYSICIANS NETWORK
Street 520 BOUGE ROAD
City YUBA CITY
State CA
ZIP 95991
Phone 530 844-5660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Practitioner Other
Lab Director ZAKIAHMAD MAVLI

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