05D1102126 CLIA NUMBER - ALSHIFA MEDICAL GROUP DBA TRINITY URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D1102126
  • Facility Name: ALSHIFA MEDICAL GROUP DBA TRINITY URGENT CARE
  • Facility Address: 10200 TRINTY PARKWAY, SUITE 202
    STOCKTON, CA
    ZIP 95219
  • Facility Phone: 916 919-7965
  • Facility Type: Other - URGENT CARE
  • Facility Type: Microscopy
  • Lab Director: MICHAEL ALI
  • NPI Number: 1093960403
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1102126
LAB Type Other - URGENT CARE
Facility Name ALSHIFA MEDICAL GROUP DBA TRINITY URGENT CARE
Street 10200 TRINTY PARKWAY, SUITE 202
City STOCKTON
State CA
ZIP 95219
Phone 916 919-7965
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 2/24/2024
Certificate Expiration Date 2/23/2026
Facility Type Other - URGENT CARE
Lab Director MICHAEL ALI

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