05D2146683 CLIA NUMBER - SUTTER GOULD MEDICAL FOUNDATION TRACY URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D2146683
  • Facility Name: SUTTER GOULD MEDICAL FOUNDATION TRACY URGENT CARE
  • Facility Address: 445 W EATON AVE, STE 1121
    TRACY, CA
    ZIP 95376
  • Facility Phone: 209 521-6097
  • Facility Type: Other - URGENT CARE LAB
  • Facility Type: Certificate of Compliance
  • Lab Director: MING ZHOU
  • NPI Number: 1235576885
  • Taxonomy: 1835P0018X - Pharmacist

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CLIA Record

Field Name Field Value
CLIA Number 05D2146683
LAB Type Other - URGENT CARE LAB
Facility Name SUTTER GOULD MEDICAL FOUNDATION TRACY URGENT CARE
Street 445 W EATON AVE, STE 1121
City TRACY
State CA
ZIP 95376
Phone 209 521-6097
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/1/2023
Certificate Expiration Date 10/31/2025
Facility Type Other - URGENT CARE LAB
Lab Director MING ZHOU

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