05D2274457 CLIA NUMBER - STOCKTON REGIONAL REHABILITATION HOSPITAL

Laboratory Demographics

CLIA Number: 05D2274457

Facility Name: STOCKTON REGIONAL REHABILITATION HOSPITAL

Facility Address:
607 E MAGNOLIA ST
STOCKTON, CA
ZIP 95202
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Facility Phone Number: 209 687-5490

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1386390755

Taxonomy: 283X00000X - Rehabilitation Hospital
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.

CLIA Record

Field Name	Field Value
CLIA Number	05D2274457
LAB Type	Hospital
Facility Name	STOCKTON REGIONAL REHABILITATION HOSPITAL
Street	607 E MAGNOLIA ST
City	STOCKTON
State	CA
ZIP	95202
Phone	209 687-5490
CertificateType	1
CertificateEffectiveDate	12/19/2023
CertificateExpirationDate	12/18/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024