05D0957548 CLIA NUMBER - MERCED FACULTY ASSOCIATES DBA MFA GATEWAY

Laboratory Demographics

CLIA Number: 05D0957548

Facility Name: MERCED FACULTY ASSOCIATES DBA MFA GATEWAY

Facility Address:
378 W OLIVE AVE STE D
MERCED, CA
ZIP 95348
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Facility Phone Number: 209 725-7560

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1548469174

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	05D0957548
LAB Type	Physician Office
Facility Name	MERCED FACULTY ASSOCIATES DBA MFA GATEWAY
Street	378 W OLIVE AVE STE D
City	MERCED
State	CA
ZIP	95348
Phone	209 725-7560
CertificateType	3
CertificateEffectiveDate	2/23/2023
CertificateExpirationDate	2/22/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024