05D1033918 CLIA NUMBER - PACIFIC URGENT CARE INC

Laboratory Demographics

  • CLIA Code: 05D1033918
  • Facility Name: PACIFIC URGENT CARE INC
  • Facility Address: 1782 W HAMMER LANE
    STOCKTON, CA
    ZIP 95209
  • Facility Phone: 209 475-9500
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: TAYMOUR E. MALAK
  • NPI Number: 1699755397
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1033918
LAB Type Community Clinic
Facility Name PACIFIC URGENT CARE INC
Street 1782 W HAMMER LANE
City STOCKTON
State CA
ZIP 95209
Phone 209 475-9500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Community Clinic
Lab Director TAYMOUR E. MALAK

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