05D0995333 CLIA NUMBER - RAHUL L PATEL MD

Laboratory Demographics

  • CLIA Code: 05D0995333
  • Facility Name: RAHUL L PATEL MD
  • Facility Address: 1148 NORMAN DR #4
    MANTECA, CA
    ZIP 95336
  • Facility Phone: 209 825-1660
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAHUL L. PATEL MD
  • NPI Number: 1659354868
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0995333
LAB Type Physician Office
Facility Name RAHUL L PATEL MD
Street 1148 NORMAN DR #4
City MANTECA
State CA
ZIP 95336
Phone 209 825-1660
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/16/2024
Certificate Expiration Date 1/15/2026
Facility Type Physician Office
Lab Director RAHUL L. PATEL MD

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