05D2056705 CLIA NUMBER - LIFE FAMILY MEDICINE CLINIC

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Laboratory Demographics

CLIA Number: 05D2056705

Facility Name: LIFE FAMILY MEDICINE CLINIC

Facility Address:
2800 N CALIFORNIA ST, STE 10
STOCKTON, CA
ZIP 95204
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Facility Phone Number: (209) 242-2448

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	05D2056705
LAB Type	PHYSICIAN OFFICE
Facility Name	LIFE FAMILY MEDICINE CLINIC
Street	2800 N CALIFORNIA ST, STE 10
City	STOCKTON
State	CA
ZIP	95204
Phone	(209) 242-2448

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This page was last updated on: 5/11/2023