05D0954552 CLIA NUMBER - ANDRES A ARELLANO MD

Laboratory Demographics

  • CLIA Code: 05D0954552
  • Facility Name: ANDRES A ARELLANO MD
  • Facility Address: 1425 WEST H ST STE 380
    OAKDALE, CA
    ZIP 95361
  • Facility Phone: 209 847-1596
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDRES A. ARELLANO MD
  • NPI Number: 1306917430
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0954552
LAB Type Physician Office
Facility Name ANDRES A ARELLANO MD
Street 1425 WEST H ST STE 380
City OAKDALE
State CA
ZIP 95361
Phone 209 847-1596
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2024
Certificate Expiration Date 11/30/2026
Facility Type Physician Office
Lab Director ANDRES A. ARELLANO MD

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