05D0699489 CLIA NUMBER - PEDIATRIC MEDICAL ASSOCIATES DBA TULARE PEDIATRIC GROUP

Laboratory Demographics

  • CLIA Code: 05D0699489
  • Facility Name: PEDIATRIC MEDICAL ASSOCIATES DBA TULARE PEDIATRIC GROUP
  • Facility Address: 1062 N CHERRY ST
    TULARE, CA
    ZIP 93274
  • Facility Phone: 559 686-3824
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PREM K. KAMBOJ
  • NPI Number: 1437250834
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0699489
LAB Type Physician Office
Facility Name PEDIATRIC MEDICAL ASSOCIATES DBA TULARE PEDIATRIC GROUP
Street 1062 N CHERRY ST
City TULARE
State CA
ZIP 93274
Phone 559 686-3824
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 Physician Office
Lab Director PREM K. KAMBOJ

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