05D2230613 CLIA NUMBER - COUNTY OF SONOMA PUBLIC HEALTH NURSING

Laboratory Demographics

  • CLIA Code: 05D2230613
  • Facility Name: COUNTY OF SONOMA PUBLIC HEALTH NURSING
  • Facility Address: 625 FIFTH STREET, COVID SECTION ATTN D'ARCY RICHARDSON
    SANTA ROSA, CA
    ZIP 95404
  • Facility Phone: 707 396-4283
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: KISMET BALDWIN
  • NPI Number: 1194874065
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2230613
LAB Type Mobile Laboratory
Facility Name COUNTY OF SONOMA PUBLIC HEALTH NURSING
Street 625 FIFTH STREET, COVID SECTION ATTN D'ARCY RICHARDSON
City SANTA ROSA
State CA
ZIP 95404
Phone 707 396-4283
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/27/2025
Certificate Expiration Date 7/26/2027
Facility Type Mobile Laboratory
Lab Director KISMET BALDWIN

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