05D2081528 CLIA NUMBER - PATTERSON URGENT CARE AND WORK WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 05D2081528
  • Facility Name: PATTERSON URGENT CARE AND WORK WELLNESS CENTER
  • Facility Address: 1010 SPERRY AVENUE, STE D
    PATTERSON, CA
    ZIP 95363
  • Facility Phone: 209 892-3111
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. RAFAEL R. SORIA
  • NPI Number: 1902236169
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2081528
LAB Type Physician Office
Facility Name PATTERSON URGENT CARE AND WORK WELLNESS CENTER
Street 1010 SPERRY AVENUE, STE D
City PATTERSON
State CA
ZIP 95363
Phone 209 892-3111
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/28/2024
Certificate Expiration Date 7/27/2026
Facility Type Physician Office
Lab Director DR. RAFAEL R. SORIA

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