05D0944657 CLIA NUMBER - HARJIT GOGNA

Laboratory Demographics

  • CLIA Code: 05D0944657
  • Facility Name: HARJIT GOGNA
  • Facility Address: 1130 COFFEE RD 3B
    MODESTO, CA
    ZIP 95355
  • Facility Phone: 209 544-3400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HAIJIT RITA H. GOGNA
  • NPI Number: 1558411322
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0944657
LAB Type Physician Office
Facility Name HARJIT GOGNA
Street 1130 COFFEE RD 3B
City MODESTO
State CA
ZIP 95355
Phone 209 544-3400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Physician Office
Lab Director HAIJIT RITA H. GOGNA

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