05D0682075 CLIA NUMBER - SUNEEL WADHWANI, MD

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Laboratory Demographics

CLIA Number: 05D0682075

Facility Name: SUNEEL WADHWANI, MD

Facility Address:
590 W PUTNAM
PORTERVILLE, CA
ZIP 93257
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Facility Phone Number: 559 784-5755

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1588764526

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	05D0682075
LAB Type	Physician Office
Facility Name	SUNEEL WADHWANI, MD
Street	590 W PUTNAM
City	PORTERVILLE
State	CA
ZIP	93257
Phone	559 784-5755
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024