05D0882646 CLIA NUMBER - LOOMIS MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 05D0882646

Facility Name: LOOMIS MEDICAL CLINIC

Facility Address:
6135 KING ROAD SUITE A
LOOMIS, CA
ZIP 95650
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Facility Phone Number: 916 652-0427

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1174707921

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D0882646
LAB Type	Physician Office
Facility Name	LOOMIS MEDICAL CLINIC
Street	6135 KING ROAD SUITE A
City	LOOMIS
State	CA
ZIP	95650
Phone	916 652-0427
CertificateType	3
CertificateEffectiveDate	12/16/2023
CertificateExpirationDate	12/15/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024