05D2153333 CLIA NUMBER - DUKE FACILITIES, INC # 1

Laboratory Demographics

  • CLIA Code: 05D2153333
  • Facility Name: DUKE FACILITIES, INC # 1
  • Facility Address: 2661 OTTO DRIVE
    STOCKTON, CA
    ZIP 95209
  • Facility Phone: 209 951-9776
  • Facility Type: Intermediate Care Facility for Mentally Retarded
  • Facility Type: Waiver
  • Lab Director: EDMUND YAO
  • NPI Number: 1700935509
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2153333
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name DUKE FACILITIES, INC # 1
Street 2661 OTTO DRIVE
City STOCKTON
State CA
ZIP 95209
Phone 209 951-9776
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director EDMUND YAO

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