05D0609125 CLIA NUMBER - HEALTHCARE CLINICAL LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0609125
  • Facility Name: HEALTHCARE CLINICAL LABORATORY
  • Facility Address: 2102 N CALIFORNIA ST
    STOCKTON, CA
    ZIP 95204
  • Facility Phone: 209 467-6430
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: DR. JEFFREY A. MCDAVIT
  • NPI Number: 1780807248
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D0609125
LAB Type Hospital
Facility Name HEALTHCARE CLINICAL LABORATORY
Street 2102 N CALIFORNIA ST
City STOCKTON
State CA
ZIP 95204
Phone 209 467-6430
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Hospital
Lab Director DR. JEFFREY A. MCDAVIT

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