05D0611189 CLIA NUMBER - SUTTER GOULD MEDICAL FOUNDATION- TURLOCK FAMILY CARE

Laboratory Demographics

  • CLIA Code: 05D0611189
  • Facility Name: SUTTER GOULD MEDICAL FOUNDATION- TURLOCK FAMILY CARE
  • Facility Address: 3100 W CHRISTOFFERSEN PKWY
    TURLOCK, CA
    ZIP 95382
  • Facility Phone: 209 988-3294
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEW D. BARKER, MD
  • NPI Number: 1023065133
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0611189
LAB Type Physician Office
Facility Name SUTTER GOULD MEDICAL FOUNDATION- TURLOCK FAMILY CARE
Street 3100 W CHRISTOFFERSEN PKWY
City TURLOCK
State CA
ZIP 95382
Phone 209 988-3294
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director LEW D. BARKER, MD

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