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La Clinica De La Raza, Inc.
Clinical Medical Laboratory in Vallejo, California
NPI 1720243454

La Clinica De La Raza, Inc. is a Clinical Medical Laboratory based in Oakland, CA. La Clinica De La Raza, Inc. practices in Vallejo, CA. The NPI Number for La Clinica De La Raza, Inc. is 1720243454 and holds a License No. 110000270 (California).

The current practice location address for La Clinica De La Raza, Inc. is 220 Hospital Dr, Vallejo, CA and can be reached out via phone at 707-641-1900 and via fax at 707-554-2294.

Location: 220 Hospital Dr, Vallejo, CA, 94623-2210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720243454
Provider Name
La Clinica De La Raza, Inc.
Credential
Provider Entity Type
Organization
Address
220 Hospital Dr, Vallejo, CA, 94623-2210
Phone Number
707-641-1900
Fax Number
707-554-2294
Provider Enumeration Date
07/22/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1720243454 05 CA
institution
Provider Business Practice Location Address Details
Address
220 Hospital Dr
City
Vallejo
State
California
Zip
94589-2517
Phone Number
707-641-1900
Fax Number
707-554-2294
person
Provider Business Mailing Address Details
Address
220 Hospital Dr
City
Vallejo
State
California
Zip
94589-2517
Phone Number
707-641-1900
Fax Number
707-554-2294
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
05D1087668 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
110000270 (California)
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
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