05D0643989 CLIA NUMBER - SAN JOAQUIN COUNTY PUBLIC HEALTH LAB

Laboratory Demographics

  • CLIA Code: 05D0643989
  • Facility Name: SAN JOAQUIN COUNTY PUBLIC HEALTH LAB
  • Facility Address: 1601 E HAZELTON AVE
    STOCKTON, CA
    ZIP 95205
  • Facility Phone: 209 468-3460
  • Facility Type: Public Health Laboratories
  • Facility Type: Certificate of Compliance
  • Lab Director: HARMEET KAUR
  • NPI Number: 1467820019
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 05D0643989
LAB Type Public Health Laboratories
Facility Name SAN JOAQUIN COUNTY PUBLIC HEALTH LAB
Street 1601 E HAZELTON AVE
City STOCKTON
State CA
ZIP 95205
Phone 209 468-3460
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/22/2025
Certificate Expiration Date 2/21/2027
Facility Type Public Health Laboratories
Lab Director HARMEET KAUR

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