05D0916423 CLIA NUMBER - BINH LE, MD

Laboratory Demographics

CLIA Number: 05D0916423

Facility Name: BINH LE, MD

Facility Address:
2020 COFFEE ROAD, SUITE A-3
MODESTO, CA
ZIP 95355
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Facility Phone Number: 209 523-4999

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1598729410

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	05D0916423
LAB Type	Physician Office
Facility Name	BINH LE, MD
Street	2020 COFFEE ROAD, SUITE A-3
City	MODESTO
State	CA
ZIP	95355
Phone	209 523-4999
CertificateType	4
CertificateEffectiveDate	12/14/2023
CertificateExpirationDate	12/13/2025
FacilityType	Waiver

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