05D2028879 CLIA NUMBER - HUSSAM KUJOK, MD, INC.

Laboratory Demographics

  • CLIA Code: 05D2028879
  • Facility Name: HUSSAM KUJOK, MD, INC.
  • Facility Address: 3609 MISSION AVE STE A
    CARMICHAEL, CA
    ZIP 95608
  • Facility Phone: 916 971-9000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HUSSAM KUJOK, MD
  • NPI Number: 1013081611
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2028879
LAB Type Physician Office
Facility Name HUSSAM KUJOK, MD, INC.
Street 3609 MISSION AVE STE A
City CARMICHAEL
State CA
ZIP 95608
Phone 916 971-9000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/25/2025
Certificate Expiration Date 8/24/2027
Facility Type Physician Office
Lab Director HUSSAM KUJOK, MD

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