05D2307902 CLIA NUMBER - BUDDY'S RANCH LLC

Laboratory Demographics

  • CLIA Code: 05D2307902
  • Facility Name: BUDDY'S RANCH LLC
  • Facility Address: 1303 GRAY AVE
    YUBA CITY, CA
    ZIP 95991
  • Facility Phone: 530 674-1049
  • Facility Type: Other - OUTPATIENT SUD TREATMENT
  • Facility Type: Waiver
  • Lab Director: DAVID I. DEYHIMY
  • NPI Number: 1053146076
  • Taxonomy: 261QM0850X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2307902
LAB Type Other - OUTPATIENT SUD TREATMENT
Facility Name BUDDY'S RANCH LLC
Street 1303 GRAY AVE
City YUBA CITY
State CA
ZIP 95991
Phone 530 674-1049
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/17/2024
Certificate Expiration Date 7/16/2026
Facility Type Other - OUTPATIENT SUD TREATMENT
Lab Director DAVID I. DEYHIMY

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