05D2121886 CLIA NUMBER - GONZALES MEDICAL CENTER INC DBA - GONZALES PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 05D2121886
  • Facility Name: GONZALES MEDICAL CENTER INC DBA - GONZALES PRIMARY CARE
  • Facility Address: 133 FOURTH ST
    GONZALES, CA
    ZIP 93926
  • Facility Phone: 831 290-5100
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: IGNACIO GUZMAN
  • NPI Number: 1336351055
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 05D2121886
LAB Type Rural Health Clinic
Facility Name GONZALES MEDICAL CENTER INC DBA - GONZALES PRIMARY CARE
Street 133 FOURTH ST
City GONZALES
State CA
ZIP 93926
Phone 831 290-5100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Rural Health Clinic
Lab Director IGNACIO GUZMAN

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