05D0700621 CLIA NUMBER - CARDIOVASCULAR CONSULTANTS HEART CENTER

Laboratory Demographics

  • CLIA Code: 05D0700621
  • Facility Name: CARDIOVASCULAR CONSULTANTS HEART CENTER
  • Facility Address: 1207 E HERNDON
    FRESNO, CA
    ZIP 93720
  • Facility Phone: 559 432-4303
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHANDRASEKAR PALANISWAMY
  • NPI Number: 1497724355
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0700621
LAB Type Physician Office
Facility Name CARDIOVASCULAR CONSULTANTS HEART CENTER
Street 1207 E HERNDON
City FRESNO
State CA
ZIP 93720
Phone 559 432-4303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/11/2023
Certificate Expiration Date 6/10/2025
Facility Type Physician Office
Lab Director CHANDRASEKAR PALANISWAMY

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This page was last updated on: 3/20/2025