05D1015720 CLIA NUMBER - RICK T CHAC, MD INC

Laboratory Demographics

CLIA Number: 05D1015720

Facility Name: RICK T CHAC, MD INC

Facility Address:
660 OLD TELEGRAPH CANYON RD
CHULA VISTA, CA
ZIP 91910
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Facility Phone Number: 619 482-2400

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1538347760

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	05D1015720
LAB Type	Physician Office
Facility Name	RICK T CHAC, MD INC
Street	660 OLD TELEGRAPH CANYON RD
City	CHULA VISTA
State	CA
ZIP	91910
Phone	619 482-2400
CertificateType	3
CertificateEffectiveDate	8/12/2023
CertificateExpirationDate	8/11/2025
FacilityType	PPMP

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