05D0996469 CLIA NUMBER - ROBERTO C TONGSON MD

Laboratory Demographics

  • CLIA Code: 05D0996469
  • Facility Name: ROBERTO C TONGSON MD
  • Facility Address: 212 BASSETT ST
    KING CITY, CA
    ZIP 93930
  • Facility Phone: 831 386-9542
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ROBERTO C. TONGSON MD
  • NPI Number: 1467450676
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D0996469
LAB Type Physician Office
Facility Name ROBERTO C TONGSON MD
Street 212 BASSETT ST
City KING CITY
State CA
ZIP 93930
Phone 831 386-9542
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/19/2024
Certificate Expiration Date 2/18/2026
Facility Type Physician Office
Lab Director ROBERTO C. TONGSON MD

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