05D0585488 CLIA NUMBER - MORINDA MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0585488
  • Facility Name: MORINDA MEDICAL GROUP
  • Facility Address: 841 W MORTON STREET
    PORTERVILLE, CA
    ZIP 93257
  • Facility Phone: 559 781-8080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTONIO DURAZO MD
  • NPI Number: 1194865543
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0585488
LAB Type Physician Office
Facility Name MORINDA MEDICAL GROUP
Street 841 W MORTON STREET
City PORTERVILLE
State CA
ZIP 93257
Phone 559 781-8080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ANTONIO DURAZO MD

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