05D2296074 CLIA NUMBER - SYNERGY MED

Laboratory Demographics

  • CLIA Code: 05D2296074
  • Facility Name: SYNERGY MED
  • Facility Address: 2367 W MARCH LANE
    STOCKTON, CA
    ZIP 95207
  • Facility Phone: 929 248-2220
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DHEERAJ NANDANOOR
  • NPI Number: 1477019255
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2296074
LAB Type Physician Office
Facility Name SYNERGY MED
Street 2367 W MARCH LANE
City STOCKTON
State CA
ZIP 95207
Phone 929 248-2220
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/20/2023
Certificate Expiration Date 12/19/2025
Facility Type Physician Office
Lab Director DHEERAJ NANDANOOR

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