05D2058365 CLIA NUMBER - HEALTHWORKS MED GROUP OF CALIFORNIA

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Laboratory Demographics

CLIA Number: 05D2058365

Facility Name: HEALTHWORKS MED GROUP OF CALIFORNIA

Facility Address:
600 YOSEMITE BLVD
MODESTO, CA
ZIP 95354
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Facility Phone Number: (209) 341-3636

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1841530037

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2058365
LAB Type	PHYSICIAN OFFICE
Facility Name	HEALTHWORKS MED GROUP OF CALIFORNIA
Street	600 YOSEMITE BLVD
City	MODESTO
State	CA
ZIP	95354
Phone	(209) 341-3636

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