05D0588360 CLIA NUMBER - MEDICAL OFFICE LABORATORY

Laboratory Demographics

CLIA Number: 05D0588360

Facility Name: MEDICAL OFFICE LABORATORY

Facility Address:
688 MEDICAL CENTER DR E STE 10
CLOVIS, CA
ZIP 93611
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Facility Phone Number: (559) 297-8604

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name Field Value
CLIA Number 05D0588360
LAB Type PHYSICIAN OFFICE
Facility Name MEDICAL OFFICE LABORATORY
Street 688 MEDICAL CENTER DR E STE 10
City CLOVIS
State CA
ZIP 93611
Phone (559) 297-8604

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This page was last updated on: 1/7/2022