05D0969807 CLIA NUMBER - FAMILY MEDICAL CENTER - ARNOLD

Laboratory Demographics

  • CLIA Code: 05D0969807
  • Facility Name: FAMILY MEDICAL CENTER - ARNOLD
  • Facility Address: 2182 HIGHWAY 4, STE A-100
    ARNOLD, CA
    ZIP 95223
  • Facility Phone: 209 754-2565
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: JOHN B. KRPAN
  • NPI Number: 1790846301
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0969807
LAB Type Rural Health Clinic
Facility Name FAMILY MEDICAL CENTER - ARNOLD
Street 2182 HIGHWAY 4, STE A-100
City ARNOLD
State CA
ZIP 95223
Phone 209 754-2565
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Rural Health Clinic
Lab Director JOHN B. KRPAN

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