05D0714331 CLIA NUMBER - DR GUIDO D ABELLERA MEDICAL OFFICE

Laboratory Demographics

  • CLIA Code: 05D0714331
  • Facility Name: DR GUIDO D ABELLERA MEDICAL OFFICE
  • Facility Address: 123 S COMMERCE ST STE D
    STOCKTON, CA
    ZIP 95202
  • Facility Phone: 209 467-6825
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GUIDO D. ABELLERA MD
  • NPI Number: 1720359037
  • Taxonomy: 302R00000X - Health Maintenance Organization

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CLIA Record

Field Name Field Value
CLIA Number 05D0714331
LAB Type Physician Office
Facility Name DR GUIDO D ABELLERA MEDICAL OFFICE
Street 123 S COMMERCE ST STE D
City STOCKTON
State CA
ZIP 95202
Phone 209 467-6825
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 GUIDO D. ABELLERA MD

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