05D0961852 CLIA NUMBER - SUNIL PATEL MD

Laboratory Demographics

  • CLIA Code: 05D0961852
  • Facility Name: SUNIL PATEL MD
  • Facility Address: 1470 BESSIE AVE
    TRACY, CA
    ZIP 95376
  • Facility Phone: 209 833-0525
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUNIL H. PATEL MD
  • NPI Number: 1730150848
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0961852
LAB Type Physician Office
Facility Name SUNIL PATEL MD
Street 1470 BESSIE AVE
City TRACY
State CA
ZIP 95376
Phone 209 833-0525
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Physician Office
Lab Director SUNIL H. PATEL MD

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