05D0590004 CLIA NUMBER - ORCHARD POST ACUTE

Laboratory Demographics

  • CLIA Code: 05D0590004
  • Facility Name: ORCHARD POST ACUTE
  • Facility Address: 4840 E TULARE AVE
    FRESNO, CA
    ZIP 93727
  • Facility Phone: 559 251-7161
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEPHEN M. GROSSMAN
  • NPI Number: 1417503905
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0590004
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ORCHARD POST ACUTE
Street 4840 E TULARE AVE
City FRESNO
State CA
ZIP 93727
Phone 559 251-7161
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 Skilled Nursing Facility/Nursing Facility
Lab Director STEPHEN M. GROSSMAN

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