05D0684312 CLIA NUMBER - GERALD N BOCK MD

Laboratory Demographics

  • CLIA Code: 05D0684312
  • Facility Name: GERALD N BOCK MD
  • Facility Address: 1617 ST MARKS PLZ, STE C
    STOCKTON, CA
    ZIP 95207
  • Facility Phone: 209 956-4260
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: GERALD N. BOCK MD
  • NPI Number: 1376649269
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D0684312
LAB Type Physician Office
Facility Name GERALD N BOCK MD
Street 1617 ST MARKS PLZ, STE C
City STOCKTON
State CA
ZIP 95207
Phone 209 956-4260
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 10/24/2023
Certificate Expiration Date 10/23/2025
Facility Type Physician Office
Lab Director GERALD N. BOCK MD

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