05D0589465 CLIA NUMBER - COMMUNITY BEHAVIORAL HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D0589465
  • Facility Name: COMMUNITY BEHAVIORAL HEALTH CENTER
  • Facility Address: 7171 N CEDAR AVE
    FRESNO, CA
    ZIP 93720
  • Facility Phone: 559 459-6563
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: CALVIN K. CHEN
  • NPI Number: 1669730354
  • Taxonomy: 207RP1001X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0589465
LAB Type Community Clinic
Facility Name COMMUNITY BEHAVIORAL HEALTH CENTER
Street 7171 N CEDAR AVE
City FRESNO
State CA
ZIP 93720
Phone 559 459-6563
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 Community Clinic
Lab Director CALVIN K. CHEN

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