05D2043101 CLIA NUMBER - DIEGO F FERRO MD INC

Laboratory Demographics

  • CLIA Code: 05D2043101
  • Facility Name: DIEGO F FERRO MD INC
  • Facility Address: 420 W ACACIA ST STE 1
    STOCKTON, CA
    ZIP 95203
  • Facility Phone: 209 948-1583
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DIEGO F. FERRO
  • NPI Number: 1700027877
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D2043101
LAB Type Physician Office
Facility Name DIEGO F FERRO MD INC
Street 420 W ACACIA ST STE 1
City STOCKTON
State CA
ZIP 95203
Phone 209 948-1583
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Physician Office
Lab Director DIEGO F. FERRO

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