05D2014356 CLIA NUMBER - DUKE FACILITIES, INC # 4

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CLIA Record

Field Name Field Value
CLIA Number 05D2014356
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name DUKE FACILITIES, INC # 4
Street 6142 GREENFIELD LANE
City STOCKTON
State CA
ZIP 95207
Phone 209 969-1576
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/6/2024
Certificate Expiration Date 10/5/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director EDMUND YAO

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