05D1089188 CLIA NUMBER - FATEMEH PAZOUKI, MD OB/GYN CONSULTANT

Laboratory Demographics

  • CLIA Code: 05D1089188
  • Facility Name: FATEMEH PAZOUKI, MD OB/GYN CONSULTANT
  • Facility Address: 1801 COLORADO AVENUE, SUITE 210
    TURLOCK, CA
    ZIP 95382
  • Facility Phone: 209 450-5966
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FATEMEH PAZOUKI, MD
  • NPI Number: 1629240544
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D1089188
LAB Type Physician Office
Facility Name FATEMEH PAZOUKI, MD OB/GYN CONSULTANT
Street 1801 COLORADO AVENUE, SUITE 210
City TURLOCK
State CA
ZIP 95382
Phone 209 450-5966
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Physician Office
Lab Director FATEMEH PAZOUKI, MD

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