05D2295148 CLIA NUMBER - ADVENTIST HEALTH UKIAH VALLEY (AHUV) UROLOGY

Laboratory Demographics

  • CLIA Code: 05D2295148
  • Facility Name: ADVENTIST HEALTH UKIAH VALLEY (AHUV) UROLOGY
  • Facility Address: 240 HOSPITAL DRIVE
    UKIAH, CA
    ZIP 95482
  • Facility Phone: 707 467-4325
  • Facility Type: Other - HBOC
  • Facility Type: Waiver
  • Lab Director: JOANNE LAMONICA
  • NPI Number: 1104872910
  • Taxonomy: 261QR0208X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2295148
LAB Type Other - HBOC
Facility Name ADVENTIST HEALTH UKIAH VALLEY (AHUV) UROLOGY
Street 240 HOSPITAL DRIVE
City UKIAH
State CA
ZIP 95482
Phone 707 467-4325
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/6/2023
Certificate Expiration Date 12/5/2025
Facility Type Other - HBOC
Lab Director JOANNE LAMONICA

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