05D0588811 CLIA NUMBER - WILLIAM GARNICA A MEDICAL CORPORATION

Laboratory Demographics

  • CLIA Code: 05D0588811
  • Facility Name: WILLIAM GARNICA A MEDICAL CORPORATION
  • Facility Address: 2384 E GETTYSBURG AVE
    FRESNO, CA
    ZIP 93726
  • Facility Phone: 559 233-0335
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUAN G. BAUSTISTA MD
  • NPI Number: 1760651335
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0588811
LAB Type Physician Office
Facility Name WILLIAM GARNICA A MEDICAL CORPORATION
Street 2384 E GETTYSBURG AVE
City FRESNO
State CA
ZIP 93726
Phone 559 233-0335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/11/2024
Certificate Expiration Date 8/10/2026
Facility Type Physician Office
Lab Director JUAN G. BAUSTISTA MD

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This page was last updated on: 3/20/2025