05D0690235 CLIA NUMBER - KAISER PERMANENTE MED OFFICES FRESNO

Laboratory Demographics

  • CLIA Code: 05D0690235
  • Facility Name: KAISER PERMANENTE MED OFFICES FRESNO
  • Facility Address: 4785 NORTH FIRST STREET
    FRESNO, CA
    ZIP 93726
  • Facility Phone: 559 448-4321
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: VIVIAN C. TORIO
  • NPI Number: 1568504587
  • Taxonomy: 282NC2000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0690235
LAB Type Physician Office
Facility Name KAISER PERMANENTE MED OFFICES FRESNO
Street 4785 NORTH FIRST STREET
City FRESNO
State CA
ZIP 93726
Phone 559 448-4321
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director VIVIAN C. TORIO

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