05D0698259 CLIA NUMBER - CAROLYN COMILANG, MD

Laboratory Demographics

  • CLIA Code: 05D0698259
  • Facility Name: CAROLYN COMILANG, MD
  • Facility Address: 1170 WEST OLIVE, SUITE I
    MERCED, CA
    ZIP 95348
  • Facility Phone: 209 722-2784
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CAROLYN C. COMILANG MD
  • NPI Number: 1891706594
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0698259
LAB Type Physician Office
Facility Name CAROLYN COMILANG, MD
Street 1170 WEST OLIVE, SUITE I
City MERCED
State CA
ZIP 95348
Phone 209 722-2784
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/1/2025
Certificate Expiration Date 2/28/2027
Facility Type Physician Office
Lab Director CAROLYN C. COMILANG MD

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