05D0664502 CLIA NUMBER - UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY (EARLIMART)

Laboratory Demographics

  • CLIA Code: 05D0664502
  • Facility Name: UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY (EARLIMART)
  • Facility Address: 476 E WASHINGTON AVE
    EARLIMART, CA
    ZIP 93219
  • Facility Phone: 559 646-6618
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: SHARAREH SHABAFROOZ
  • NPI Number: 1063087161
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 05D0664502
LAB Type Federally Qualified Health Center
Facility Name UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY (EARLIMART)
Street 476 E WASHINGTON AVE
City EARLIMART
State CA
ZIP 93219
Phone 559 646-6618
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Federally Qualified Health Center
Lab Director SHARAREH SHABAFROOZ

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