05D0589645 CLIA NUMBER - ALEX O HABIBE, MD INC

Laboratory Demographics

CLIA Number: 05D0589645

Facility Name: ALEX O HABIBE, MD INC

Facility Address:
7780 N FRESNO ST, #102
FRESNO, CA
ZIP 93720
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Facility Phone Number: (559) 233-4691

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1982700597

Taxonomy: 261QP2300X - Clinic/Center

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

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This page was last updated on: 1/7/2022