05D0671708 CLIA NUMBER - DAVID A OLSON, MD A PROFESSIONAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D0671708
  • Facility Name: DAVID A OLSON, MD A PROFESSIONAL CORPORATION
  • Facility Address: 232 WEST F STREET
    OAKDALE, CA
    ZIP 95361
  • Facility Phone: 209 848-2273
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID A. OLSON, MD
  • NPI Number: 1346252525
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0671708
LAB Type Physician Office
Facility Name DAVID A OLSON, MD A PROFESSIONAL CORPORATION
Street 232 WEST F STREET
City OAKDALE
State CA
ZIP 95361
Phone 209 848-2273
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 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director DAVID A. OLSON, MD

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