05D0713153 CLIA NUMBER - SAMUEL LOREDO MD INC

Laboratory Demographics

  • CLIA Code: 05D0713153
  • Facility Name: SAMUEL LOREDO MD INC
  • Facility Address: 139 W EL PORTAL DR #A
    MERCED, CA
    ZIP 95348
  • Facility Phone: 209 722-2716
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL LOREDO MD
  • NPI Number: 1164532958
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D0713153
LAB Type Physician Office
Facility Name SAMUEL LOREDO MD INC
Street 139 W EL PORTAL DR #A
City MERCED
State CA
ZIP 95348
Phone 209 722-2716
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director SAMUEL LOREDO MD

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