05D1014877 CLIA NUMBER - ZACHARY A COOPER MD DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 05D1014877
  • Facility Name: ZACHARY A COOPER MD DERMATOLOGY
  • Facility Address: 19933 GREENLEY RD STE C
    SONORA, CA
    ZIP 95370
  • Facility Phone: 209 536-0505
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ZACHARY A. COOPER MD
  • NPI Number: 1659309904
  • Taxonomy: 207N00000X - Dermatology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D1014877
LAB Type Physician Office
Facility Name ZACHARY A COOPER MD DERMATOLOGY
Street 19933 GREENLEY RD STE C
City SONORA
State CA
ZIP 95370
Phone 209 536-0505
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/9/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director ZACHARY A. COOPER MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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