05D0861710 CLIA NUMBER - ADVENTIST HEALTH PHYSICIANS NETWORK - LEMOORE

Laboratory Demographics

  • CLIA Code: 05D0861710
  • Facility Name: ADVENTIST HEALTH PHYSICIANS NETWORK - LEMOORE
  • Facility Address: 784 N LEMOORE AVE
    LEMOORE, CA
    ZIP 93245
  • Facility Phone: 559 537-0420
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIE EWING
  • NPI Number: 1104123264
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0861710
LAB Type Physician Office
Facility Name ADVENTIST HEALTH PHYSICIANS NETWORK - LEMOORE
Street 784 N LEMOORE AVE
City LEMOORE
State CA
ZIP 93245
Phone 559 537-0420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Physician Office
Lab Director WILLIE EWING

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