05D0589645 CLIA NUMBER - ALEX O HABIBE, MD INC

Laboratory Demographics

  • CLIA Code: 05D0589645
  • Facility Name: ALEX O HABIBE, MD INC
  • Facility Address: 7780 N FRESNO ST, #102
    FRESNO, CA
    ZIP 93720
  • Facility Phone: 559 233-4691
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALEX O. HABIBE
  • NPI Number: 1629075395
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0589645
LAB Type Physician Office
Facility Name ALEX O HABIBE, MD INC
Street 7780 N FRESNO ST, #102
City FRESNO
State CA
ZIP 93720
Phone 559 233-4691
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2023
Certificate Expiration Date 10/10/2025
Facility Type Physician Office
Lab Director ALEX O. HABIBE

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