05D0610790 CLIA NUMBER - NORMAN CHOCK MD INC

Laboratory Demographics

  • CLIA Code: 05D0610790
  • Facility Name: NORMAN CHOCK MD INC
  • Facility Address: 1390 WEST H ST SUITE B
    OAKDALE, CA
    ZIP 95361
  • Facility Phone: 209 847-2201
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EDWARD CHOCK
  • NPI Number: 1053416982
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0610790
LAB Type Physician Office
Facility Name NORMAN CHOCK MD INC
Street 1390 WEST H ST SUITE B
City OAKDALE
State CA
ZIP 95361
Phone 209 847-2201
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director EDWARD CHOCK

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