05D0599579 CLIA NUMBER - AXIS COMMUNITY HEALTH

Laboratory Demographics

  • CLIA Code: 05D0599579
  • Facility Name: AXIS COMMUNITY HEALTH
  • Facility Address: 7212 REGIONAL STREET
    DUBLIN, CA
    ZIP 94568
  • Facility Phone: 925 462-1755
  • Facility Type: Other - FQHC
  • Facility Type: Microscopy
  • Lab Director: DAWNELL MOODY
  • NPI Number: 1124461397
  • Taxonomy: 261QC1500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0599579
LAB Type Other - FQHC
Facility Name AXIS COMMUNITY HEALTH
Street 7212 REGIONAL STREET
City DUBLIN
State CA
ZIP 94568
Phone 925 462-1755
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 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Other - FQHC
Lab Director DAWNELL MOODY

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