05D0862376 CLIA NUMBER - SUTTER TRACY COMMUNITY HOSPITAL

Laboratory Demographics

  • CLIA Code: 05D0862376
  • Facility Name: SUTTER TRACY COMMUNITY HOSPITAL
  • Facility Address: 1420 N TRACY BLVD
    TRACY, CA
    ZIP 95376
  • Facility Phone: 209 832-6036
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: SHIJUN CUI, MD
  • NPI Number: 1043291164
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0862376
LAB Type Hospital
Facility Name SUTTER TRACY COMMUNITY HOSPITAL
Street 1420 N TRACY BLVD
City TRACY
State CA
ZIP 95376
Phone 209 832-6036
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 8/17/2025
Certificate Expiration Date 8/16/2027
Facility Type Hospital
Lab Director SHIJUN CUI, MD

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