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05D0589791 CLIA NUMBER - ILDEFONSO CRUZ MD

Laboratory Demographics

CLIA Number: 05D0589791

Facility Name: ILDEFONSO CRUZ MD

Facility Address:
1646 E HERNDON #102
FRESNO, CA
ZIP 93720
1646 E HERNDON #102
FRESNO, CA
ZIP 93720
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Facility Phone Number: (559) 449-7300

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy
NPI Number: 1275689085

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 05D0589791
LAB Type PHYSICIAN OFFICE
Facility Name ILDEFONSO CRUZ MD
Street 1646 E HERNDON #102
City FRESNO
State CA
ZIP 93720
Phone (559) 449-7300
CLIA Number 05D0589791
LAB Type PHYSICIAN OFFICE
Facility Name ILDEFONSO CRUZ MD
Street 1646 E HERNDON #102
City FRESNO
State CA
ZIP 93720
Phone (559) 449-7300

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