05D0608992 CLIA NUMBER - AZIZ KAMALI MD INC

Laboratory Demographics

  • CLIA Code: 05D0608992
  • Facility Name: AZIZ KAMALI MD INC
  • Facility Address: 4505 PRECISSI LN # 1
    STOCKTON, CA
    ZIP 95207
  • Facility Phone: 209 463-3322
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: AZIZ KAMALI
  • NPI Number: 1306923883
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0608992
LAB Type Physician Office
Facility Name AZIZ KAMALI MD INC
Street 4505 PRECISSI LN # 1
City STOCKTON
State CA
ZIP 95207
Phone 209 463-3322
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director AZIZ KAMALI

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