05D2266678 CLIA NUMBER - TWELVE BRIDGES DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 05D2266678
  • Facility Name: TWELVE BRIDGES DERMATOLOGY
  • Facility Address: 2295 FIELDSTONE DR, STE 150
    LINCOLN, CA
    ZIP 95648
  • Facility Phone: 916 909-3376
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DERRICK ADAMS
  • NPI Number: 1033303177
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D2266678
LAB Type Physician Office
Facility Name TWELVE BRIDGES DERMATOLOGY
Street 2295 FIELDSTONE DR, STE 150
City LINCOLN
State CA
ZIP 95648
Phone 916 909-3376
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Physician Office
Lab Director DERRICK ADAMS

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