STOCKTON PATHOLOGY MEDICAL GROUP LABORATORY
NPI 1205213196
Clinical Medical Laboratory in Stockton, CA

Active since April 30, 2015CLIA 05D0609168 · Accreditation
2131 N CALIFORNIA ST, STOCKTON, CA 95204(209) 465-6221 Get Directions Write a Review

NPPES record last updated: April 30, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stockton Pathology Medical Group Laboratory NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STOCKTON PATHOLOGY MEDICAL GROUP LABORATORY (NPI 1205213196) is a healthcare organization registered as a clinical medical laboratory in Stockton, California and active in the NPI registry since April 2015. The organization holds an CLIA Accreditation certificate valid through June 28, 2028 and lists Jeffrey Mcdavit, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1205213196
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameSTOCKTON PATHOLOGY MEDICAL GROUP
Location Address2131 N CALIFORNIA STStockton, CA 95204-6030
Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509
Organization SubpartNo
Authorized OfficialJeffrey McdavitAuthorized Official · (209) 943-2000
Enumeration DateApril 30, 2015
NPI 1205213196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
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.
2131 N CALIFORNIA ST, Stockton, CA 95204

Other Names 1

Doing Business AsStockton Pathology Medical Group Laboratory

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 05D0609168

Stockton Pathology Medical Group · Stockton, CA
Active · expires Jun 28, 2028
CLIA Number05D0609168
Laboratory TypeIndependent
Certificate Effective DateJune 29, 2026
Certificate Expiration DateJune 28, 2028
Laboratory DirectorDr. Jeffrey A. Mcdavit
Laboratory Phone(209) 467-6491
Laboratory LocationStockton Pathology Medical Group2131 N California St, Stockton, CA 95204
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stockton Pathology Medical Group's NPI number?

The NPI number for Stockton Pathology Medical Group is 1205213196. It was assigned to this organization in the NPPES registry on April 30, 2015. The provider is doing business as Stockton Pathology Medical Group Laboratory.

Where is Stockton Pathology Medical Group located?

Stockton Pathology Medical Group is located at 2131 N California St, Stockton, CA 95204. The listed phone number is (209) 465-6221.

What is Stockton Pathology Medical Group's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Stockton Pathology Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 05D0609168) is associated with this NPI, valid through June 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Stockton Pathology Medical Group was last updated on April 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.