05D2285639 CLIA NUMBER - YUBA CITY MULTISPECIALTY PRACTICE

Laboratory Demographics

  • CLIA Code: 05D2285639
  • Facility Name: YUBA CITY MULTISPECIALTY PRACTICE
  • Facility Address: 1215 PLUMAS STREET STE 800
    YUBA CITY, CA
    ZIP 95991
  • Facility Phone: 530 532-8321
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK HEINRICH
  • NPI Number: 1366405730
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2285639
LAB Type Physician Office
Facility Name YUBA CITY MULTISPECIALTY PRACTICE
Street 1215 PLUMAS STREET STE 800
City YUBA CITY
State CA
ZIP 95991
Phone 530 532-8321
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/14/2025
Certificate Expiration Date 7/13/2027
Facility Type Physician Office
Lab Director MARK HEINRICH

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