05D1073202 CLIA NUMBER - ABRHAM TEKOLA MD INC

Laboratory Demographics

  • CLIA Code: 05D1073202
  • Facility Name: ABRHAM TEKOLA MD INC
  • Facility Address: 5740 WINDMILL WAY SUITE #5
    CARMICHAEL, CA
    ZIP 95608
  • Facility Phone: 916 480-0506
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ABRHAM TEKOLA MD
  • NPI Number: 1083705461
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1073202
LAB Type Physician Office
Facility Name ABRHAM TEKOLA MD INC
Street 5740 WINDMILL WAY SUITE #5
City CARMICHAEL
State CA
ZIP 95608
Phone 916 480-0506
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/4/2025
Certificate Expiration Date 9/3/2027
Facility Type Physician Office
Lab Director ABRHAM TEKOLA MD

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