05D0936965 CLIA NUMBER - SAN JOAQUIN LASER AND SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D0936965
  • Facility Name: SAN JOAQUIN LASER AND SURGERY CENTER
  • Facility Address: 1805 N CALIFORNIA ST, STE 101A
    STOCKTON, CA
    ZIP 95204
  • Facility Phone: 209 948-3241
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: JULIO NARVAEZ
  • NPI Number: 1639183486
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0936965
LAB Type Ambulatory Surgery Center
Facility Name SAN JOAQUIN LASER AND SURGERY CENTER
Street 1805 N CALIFORNIA ST, STE 101A
City STOCKTON
State CA
ZIP 95204
Phone 209 948-3241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Ambulatory Surgery Center
Lab Director JULIO NARVAEZ

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