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La Clinica De La Raza Inc
Clinical Medical Laboratory in Vallejo, California
NPI 1992811392

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 1992811392 and holds a License No. 110000270 (California).

The current practice location address for La Clinica De La Raza Inc is 243 Georgia St, Vallejo, CA and can be reached out via phone at 707-556-8100 and via fax at 707-556-8107.

Location: 243 Georgia St, Vallejo, CA, 94623-2210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992811392
Provider Name
La Clinica De La Raza Inc
Credential
Provider Entity Type
Organization
Address
243 Georgia St, Vallejo, CA, 94623-2210
Phone Number
707-556-8100
Fax Number
707-556-8107
Provider Enumeration Date
08/21/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FHC70543G 05 CA
institution
Provider Business Practice Location Address Details
Address
243 Georgia St
City
Vallejo
State
California
Zip
94590-5905
Phone Number
707-556-8100
Fax Number
707-556-8107
person
Provider Business Mailing Address Details
Address
243 Georgia St
City
Vallejo
State
California
Zip
94590-5905
Phone Number
707-556-8100
Fax Number
707-556-8107
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
05D0880562 (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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