05D0987259 CLIA NUMBER - MITCHELL L SEITZ MD

Laboratory Demographics

  • CLIA Code: 05D0987259
  • Facility Name: MITCHELL L SEITZ MD
  • Facility Address: 632 W ELEVENTH ST, SUITE 111
    TRACY, CA
    ZIP 95376
  • Facility Phone: 209 833-7135
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MITCHELL L. SEITZ MD
  • NPI Number: 1518943190
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0987259
LAB Type Physician Office
Facility Name MITCHELL L SEITZ MD
Street 632 W ELEVENTH ST, SUITE 111
City TRACY
State CA
ZIP 95376
Phone 209 833-7135
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2025
Certificate Expiration Date 5/30/2027
Facility Type Physician Office
Lab Director MITCHELL L. SEITZ MD

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