05D2119217 CLIA NUMBER - MEDCORE

Laboratory Demographics

  • CLIA Code: 05D2119217
  • Facility Name: MEDCORE
  • Facility Address: 2701 E HAMMER LN STE 103
    STOCKTON, CA
    ZIP 95210
  • Facility Phone: 209 320-2627
  • Facility Type: Other - HEALTH PROMOTION CTR
  • Facility Type: Waiver
  • Lab Director: SATINDER SINGH
  • NPI Number: 1063943223
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 05D2119217
LAB Type Other - HEALTH PROMOTION CTR
Facility Name MEDCORE
Street 2701 E HAMMER LN STE 103
City STOCKTON
State CA
ZIP 95210
Phone 209 320-2627
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2024
Certificate Expiration Date 9/20/2026
Facility Type Other - HEALTH PROMOTION CTR
Lab Director SATINDER SINGH

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