05D0944378 CLIA NUMBER - LONG THAO, MD INC

Laboratory Demographics

  • CLIA Code: 05D0944378
  • Facility Name: LONG THAO, MD INC
  • Facility Address: 700 W OLIVE AVE STE H
    MERCED, CA
    ZIP 95348
  • Facility Phone: 209 384-8426
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LONG THAO, MD
  • NPI Number: 1245341445
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0944378
LAB Type Physician Office
Facility Name LONG THAO, MD INC
Street 700 W OLIVE AVE STE H
City MERCED
State CA
ZIP 95348
Phone 209 384-8426
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Physician Office
Lab Director LONG THAO, MD

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