05D2152811 CLIA NUMBER - ROC MEDICAL

Laboratory Demographics

  • CLIA Code: 05D2152811
  • Facility Name: ROC MEDICAL
  • Facility Address: 1805 N CALIFORNIA STREET SUITE 406
    STOCKTON, CA
    ZIP 95204
  • Facility Phone: 209 227-7806
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD O. CAMACHO MD
  • NPI Number: 1891209359
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2152811
LAB Type Physician Office
Facility Name ROC MEDICAL
Street 1805 N CALIFORNIA STREET SUITE 406
City STOCKTON
State CA
ZIP 95204
Phone 209 227-7806
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Physician Office
Lab Director RICHARD O. CAMACHO MD

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