05D2120316 CLIA NUMBER - ADVENTIST HEALTH PHYSICIANS NETWORK

Laboratory Demographics

  • CLIA Code: 05D2120316
  • Facility Name: ADVENTIST HEALTH PHYSICIANS NETWORK
  • Facility Address: 999 S FAIRMONT AVE STE 50
    LODI, CA
    ZIP 95240
  • Facility Phone: 209 339-7411
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FRANK T. HUANG
  • NPI Number: 1699127316
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2120316
LAB Type Physician Office
Facility Name ADVENTIST HEALTH PHYSICIANS NETWORK
Street 999 S FAIRMONT AVE STE 50
City LODI
State CA
ZIP 95240
Phone 209 339-7411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2024
Certificate Expiration Date 10/12/2026
Facility Type Physician Office
Lab Director FRANK T. HUANG

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