05D0589343 CLIA NUMBER - JOHN S WADE MD INC

Laboratory Demographics

  • CLIA Code: 05D0589343
  • Facility Name: JOHN S WADE MD INC
  • Facility Address: 6067 N FRESNO ST STE 101
    FRESNO, CA
    ZIP 93710
  • Facility Phone: 559 436-0606
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN S. WADE
  • NPI Number: 1346297330
  • Taxonomy: 208C00000X - Colon & Rectal Surgery

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CLIA Record

Field Name Field Value
CLIA Number 05D0589343
LAB Type Physician Office
Facility Name JOHN S WADE MD INC
Street 6067 N FRESNO ST STE 101
City FRESNO
State CA
ZIP 93710
Phone 559 436-0606
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director JOHN S. WADE

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This page was last updated on: 9/29/2025