05D2048012 CLIA NUMBER - GENTRY VU MD INC

Home > CLIA Lookup > 05D2048012

Laboratory Demographics

CLIA Number: 05D2048012

Facility Name: GENTRY VU MD INC

Facility Address:
534 E MAPLE ST
STOCKTON, CA
ZIP 95204
Get Directions

Facility Phone Number: 209 475-9762

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1104008887

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	05D2048012
LAB Type	Practitioner Other
Facility Name	GENTRY VU MD INC
Street	534 E MAPLE ST
City	STOCKTON
State	CA
ZIP	95204
Phone	209 475-9762
CertificateType	4
CertificateEffectiveDate	10/8/2022
CertificateExpirationDate	10/7/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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