05D2283557 CLIA NUMBER - BUOYANT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 05D2283557
  • Facility Name: BUOYANT PRIMARY CARE
  • Facility Address: 1560 HUMBOLDT ROAD, STE 2
    CHICO, CA
    ZIP 95928
  • Facility Phone: 530 363-4423
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUSAN BURGESS
  • NPI Number: 1316657729
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 05D2283557
LAB Type Physician Office
Facility Name BUOYANT PRIMARY CARE
Street 1560 HUMBOLDT ROAD, STE 2
City CHICO
State CA
ZIP 95928
Phone 530 363-4423
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Physician Office
Lab Director SUSAN BURGESS

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