05D2012686 CLIA NUMBER - DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC

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Laboratory Demographics

CLIA Number: 05D2012686

Facility Name: DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC

Facility Address:
3161 L STREET
SACRAMENTO, CA
ZIP 95816
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Facility Phone Number: 916 446-0424

Facility Type: Independent

Certificate Type: Accreditation

NPI Number: 1700961927

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	05D2012686
LAB Type	Independent
Facility Name	DIAGNOSTIC PATHOLOGY MEDICAL GROUP INC
Street	3161 L STREET
City	SACRAMENTO
State	CA
ZIP	95816
Phone	916 446-0424
CertificateType	1
CertificateEffectiveDate	5/9/2023
CertificateExpirationDate	5/8/2025
FacilityType	Accreditation

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