05D2250836 CLIA NUMBER - SAN JOAQUIN DELTA COLLEGE

Laboratory Demographics

  • CLIA Code: 05D2250836
  • Facility Name: SAN JOAQUIN DELTA COLLEGE
  • Facility Address: 5151 PACIFIC AVE
    STOCKTON, CA
    ZIP 95207
  • Facility Phone: 209 954-5022
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: MICHAEL W. YU
  • NPI Number: 1609085984
  • Taxonomy: 261QM0801X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2250836
LAB Type School/Student Health Service
Facility Name SAN JOAQUIN DELTA COLLEGE
Street 5151 PACIFIC AVE
City STOCKTON
State CA
ZIP 95207
Phone 209 954-5022
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type School/Student Health Service
Lab Director MICHAEL W. YU

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