05D2032160 CLIA NUMBER - SOLANO PRIMARY CARE MEDICAL GROUP

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Laboratory Demographics

CLIA Number: 05D2032160

Facility Name: SOLANO PRIMARY CARE MEDICAL GROUP

Facility Address:
155 GLEN COVE MARINA ROAD, SUITE 100
VALLEJO, CA
ZIP 94591
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Facility Phone Number: 707 558-8699

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1083763155

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D2032160
LAB Type	Physician Office
Facility Name	SOLANO PRIMARY CARE MEDICAL GROUP
Street	155 GLEN COVE MARINA ROAD, SUITE 100
City	VALLEJO
State	CA
ZIP	94591
Phone	707 558-8699
CertificateType	3
CertificateEffectiveDate	11/4/2023
CertificateExpirationDate	11/3/2025
FacilityType	PPMP

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