05D0982885 CLIA NUMBER - GILL MEDICAL ASSOCIATES INC

Laboratory Demographics

CLIA Number: 05D0982885

Facility Name: GILL MEDICAL ASSOCIATES INC

Facility Address:
832 S FAIRMONT AVE
LODI, CA
ZIP 95240
Get Directions

Facility Phone Number: 209 365-9331

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1235642588

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D0982885
LAB Type	Physician Office
Facility Name	GILL MEDICAL ASSOCIATES INC
Street	832 S FAIRMONT AVE
City	LODI
State	CA
ZIP	95240
Phone	209 365-9331
CertificateType	4
CertificateEffectiveDate	2/8/2023
CertificateExpirationDate	2/7/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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