05D0585082 CLIA NUMBER - AVENAL COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D0585082
  • Facility Name: AVENAL COMMUNITY HEALTH CENTER
  • Facility Address: 1000 SKYLINE BLVD
    AVENAL, CA
    ZIP 93204
  • Facility Phone: 559 386-4500
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: DAPHINE KANIARU, MD
  • NPI Number: 1154095388
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0585082
LAB Type Federally Qualified Health Center
Facility Name AVENAL COMMUNITY HEALTH CENTER
Street 1000 SKYLINE BLVD
City AVENAL
State CA
ZIP 93204
Phone 559 386-4500
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/30/2024
Certificate Expiration Date 11/29/2026
Facility Type Federally Qualified Health Center
Lab Director DAPHINE KANIARU, MD

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This page was last updated on: 3/20/2025