05D0931142 CLIA NUMBER - TRI-CITY HEALTH CENTER ,

Laboratory Demographics

  • CLIA Code: 05D0931142
  • Facility Name: TRI-CITY HEALTH CENTER ,
  • Facility Address: 39500 LIBERTY STREET
    FREMONT, CA
    ZIP 94538
  • Facility Phone: 510 770-8133
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: GEMMA JEMENA, MD
  • NPI Number: 1043342728
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 05D0931142
LAB Type Federally Qualified Health Center
Facility Name TRI-CITY HEALTH CENTER ,
Street 39500 LIBERTY STREET
City FREMONT
State CA
ZIP 94538
Phone 510 770-8133
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2024
Certificate Expiration Date 5/31/2026
Facility Type Federally Qualified Health Center
Lab Director GEMMA JEMENA, MD

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