05D2295116 CLIA NUMBER - COMMON PURPOSE INC

Laboratory Demographics

  • CLIA Code: 05D2295116
  • Facility Name: COMMON PURPOSE INC
  • Facility Address: 256 BUENA VISTA ST
    GRASS VALLEY, CA
    ZIP 95945
  • Facility Phone: 530 274-2000
  • Facility Type: Other - SUD CLINIC
  • Facility Type: Waiver
  • Lab Director: JOHN JACKSON
  • NPI Number: 1093465098
  • Taxonomy: 251S00000X - Community/Behavioral Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2295116
LAB Type Other - SUD CLINIC
Facility Name COMMON PURPOSE INC
Street 256 BUENA VISTA ST
City GRASS VALLEY
State CA
ZIP 95945
Phone 530 274-2000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Other - SUD CLINIC
Lab Director JOHN JACKSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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