05D2301075 CLIA NUMBER - VACAVILLE CENTER FOR WOMEN'S HEALTH

Laboratory Demographics

  • CLIA Code: 05D2301075
  • Facility Name: VACAVILLE CENTER FOR WOMEN'S HEALTH
  • Facility Address: 1020 NUT TREET RD SUITE 270
    VACAVILLE, CA
    ZIP 95687
  • Facility Phone: 707 646-4100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STELLA HUANG
  • NPI Number: 1033234877
  • Taxonomy: 122300000X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 05D2301075
LAB Type Physician Office
Facility Name VACAVILLE CENTER FOR WOMEN'S HEALTH
Street 1020 NUT TREET RD SUITE 270
City VACAVILLE
State CA
ZIP 95687
Phone 707 646-4100
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/20/2024
Certificate Expiration Date 3/19/2026
Facility Type Physician Office
Lab Director STELLA HUANG

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