05D0588342 CLIA NUMBER - G AND J ROTH PROFESSIONAL CORP LAB

Laboratory Demographics

CLIA Number: 05D0588342

Facility Name: G AND J ROTH PROFESSIONAL CORP LAB

Facility Address:
255 W BULLARD AVE SUITE 102
CLOVIS, CA
ZIP 93612
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Facility Phone Number: (559) 299-2128

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

CLIA Record

Field Name	Field Value
CLIA Number	05D0588342
LAB Type	PHYSICIAN OFFICE
Facility Name	G AND J ROTH PROFESSIONAL CORP LAB
Street	255 W BULLARD AVE SUITE 102
City	CLOVIS
State	CA
ZIP	93612
Phone	(559) 299-2128

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This page was last updated on: 5/11/2023