05D2058365 CLIA NUMBER - Healthworks Med Group Of California

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 2093413636

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This page was last updated on: 5/19/2019