05D1016401 CLIA NUMBER - SALMAN S RAZI MD INC

Laboratory Demographics

  • CLIA Code: 05D1016401
  • Facility Name: SALMAN S RAZI MD INC
  • Facility Address: 2160 W GRANTLINE RD # 140
    TRACY, CA
    ZIP 95377
  • Facility Phone: 209 833-3449
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SALMAN S. RAZI MD
  • NPI Number: 1851368054
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 05D1016401
LAB Type Physician Office
Facility Name SALMAN S RAZI MD INC
Street 2160 W GRANTLINE RD # 140
City TRACY
State CA
ZIP 95377
Phone 209 833-3449
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/15/2024
Certificate Expiration Date 9/14/2026
Facility Type Physician Office
Lab Director SALMAN S. RAZI MD

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