05D2027063 CLIA NUMBER - SAN JOAQUIN COUNTY CLINICS - HOSPITAL

Laboratory Demographics

  • CLIA Code: 05D2027063
  • Facility Name: SAN JOAQUIN COUNTY CLINICS - HOSPITAL
  • Facility Address: 500 W HOSPITAL ROAD, C/O CLINICAL LAB
    FRENCH CAMP, CA
    ZIP 95231
  • Facility Phone: 209 468-6956
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Microscopy
  • Lab Director: DEEPAK MOHAN
  • NPI Number: 1376750232
  • Taxonomy: 261QM0801X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2027063
LAB Type Ancillary Testing Site in Health Care Center
Facility Name SAN JOAQUIN COUNTY CLINICS - HOSPITAL
Street 500 W HOSPITAL ROAD, C/O CLINICAL LAB
City FRENCH CAMP
State CA
ZIP 95231
Phone 209 468-6956
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 7/15/2025
Certificate Expiration Date 7/14/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DEEPAK MOHAN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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