05D0966374 CLIA NUMBER - UNIVERSITY PEDIATRIC CENTER MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D0966374
  • Facility Name: UNIVERSITY PEDIATRIC CENTER MEDICAL CORPORATION
  • Facility Address: 1100 OLIVEWOOD DRIVE
    MERCED, CA
    ZIP 95348
  • Facility Phone: 209 383-3671
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SIMA A. ASADI MD
  • NPI Number: 1194737585
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0966374
LAB Type Physician Office
Facility Name UNIVERSITY PEDIATRIC CENTER MEDICAL CORPORATION
Street 1100 OLIVEWOOD DRIVE
City MERCED
State CA
ZIP 95348
Phone 209 383-3671
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Physician Office
Lab Director SIMA A. ASADI MD

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