05D2309422 CLIA NUMBER - NEDLEY CLINIC PC

Laboratory Demographics

  • CLIA Code: 05D2309422
  • Facility Name: NEDLEY CLINIC PC
  • Facility Address: 20601 WEST PAOLI LN
    WEIMAR, CA
    ZIP 95736
  • Facility Phone: 530 422-7920
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEIL NEDLEY
  • NPI Number: 1134214471
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2309422
LAB Type Physician Office
Facility Name NEDLEY CLINIC PC
Street 20601 WEST PAOLI LN
City WEIMAR
State CA
ZIP 95736
Phone 530 422-7920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Physician Office
Lab Director NEIL NEDLEY

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