05D2048012 CLIA NUMBER - GENTRY VU MD INC

Laboratory Demographics

  • CLIA Code: 05D2048012
  • Facility Name: GENTRY VU MD INC
  • Facility Address: 534 E MAPLE ST
    STOCKTON, CA
    ZIP 95204
  • Facility Phone: 209 475-9762
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: GENTRY J. VU
  • NPI Number: 1104008887
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Practitioner Other
Lab Director GENTRY J. VU

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