05D0589465 CLIA NUMBER - COMMUNITY BEHAVIORAL HEALTH CENTER

Laboratory Demographics

CLIA Number: 05D0589465

Facility Name: COMMUNITY BEHAVIORAL HEALTH CENTER

Facility Address:
7171 N CEDAR AVE
FRESNO, CA
ZIP 93720
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Facility Phone Number: 559 459-6563

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1669730354

Taxonomy: 207RP1001X - Internal Medicine
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

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
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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