05D1048079 CLIA NUMBER - MARK L HOFF, MD MEDICAL PRACTICE

Laboratory Demographics

CLIA Number: 05D1048079

Facility Name: MARK L HOFF, MD MEDICAL PRACTICE

Facility Address:
999 S FAIRMONT AVE STE 135
LODI, CA
ZIP 95240
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Facility Phone Number: 209 366-2031

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1558455618

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D1048079
LAB Type	Physician Office
Facility Name	MARK L HOFF, MD MEDICAL PRACTICE
Street	999 S FAIRMONT AVE STE 135
City	LODI
State	CA
ZIP	95240
Phone	209 366-2031
CertificateType	3
CertificateEffectiveDate	11/21/2023
CertificateExpirationDate	11/20/2025
FacilityType	PPMP

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