05D0588476 CLIA NUMBER - ADVENTIST HEALTH REEDLEY ,

Laboratory Demographics

  • CLIA Code: 05D0588476
  • Facility Name: ADVENTIST HEALTH REEDLEY ,
  • Facility Address: 300 S LEON S PETERS BLVD
    FOWLER, CA
    ZIP 93625
  • Facility Phone: 559 834-1614
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: RAUL AYALA MD
  • NPI Number: 1093980823
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0588476
LAB Type Rural Health Clinic
Facility Name ADVENTIST HEALTH REEDLEY ,
Street 300 S LEON S PETERS BLVD
City FOWLER
State CA
ZIP 93625
Phone 559 834-1614
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Rural Health Clinic
Lab Director RAUL AYALA MD

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This page was last updated on: 6/4/2025