05D0588585 CLIA NUMBER - PAM K. JANDA, M.D., INC

Laboratory Demographics

CLIA Number: 05D0588585

Facility Name: PAM K. JANDA, M.D., INC

Facility Address:
7078 N MAPLE AVE STE 101
FRESNO, CA
ZIP 93720
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Facility Phone Number: 559 449-8200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1871769893

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	05D0588585
LAB Type	Physician Office
Facility Name	PAM K. JANDA, M.D., INC
Street	7078 N MAPLE AVE STE 101
City	FRESNO
State	CA
ZIP	93720
Phone	559 449-8200
CertificateType	4
CertificateEffectiveDate	7/10/2022
CertificateExpirationDate	7/9/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024