05D0705286 CLIA NUMBER - REEDLEY WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 05D0705286
  • Facility Name: REEDLEY WELLNESS CENTER
  • Facility Address: 750 G STREET
    REEDLEY, CA
    ZIP 93654
  • Facility Phone: 559 637-9818
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JACOB K. PETERS MD
  • NPI Number: 1194824722
  • Taxonomy: 302F00000X - Exclusive Provider Organization

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CLIA Record

Field Name Field Value
CLIA Number 05D0705286
LAB Type Physician Office
Facility Name REEDLEY WELLNESS CENTER
Street 750 G STREET
City REEDLEY
State CA
ZIP 93654
Phone 559 637-9818
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 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Physician Office
Lab Director JACOB K. PETERS MD

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