05D2244712 CLIA NUMBER - SEBASTOPOL URGENT CARE INC

Laboratory Demographics

  • CLIA Code: 05D2244712
  • Facility Name: SEBASTOPOL URGENT CARE INC
  • Facility Address: 555 PETALUMA AVE SUITE B-2
    SEBASTOPOL, CA
    ZIP 95472
  • Facility Phone: 707 509-5961
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH FLOWER
  • NPI Number: 1497329015
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2244712
LAB Type Physician Office
Facility Name SEBASTOPOL URGENT CARE INC
Street 555 PETALUMA AVE SUITE B-2
City SEBASTOPOL
State CA
ZIP 95472
Phone 707 509-5961
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Physician Office
Lab Director ELIZABETH FLOWER

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This page was last updated on: 6/4/2025