05D0891151 CLIA NUMBER - SEQUOIA FAMILY MEDICAL CENTER

Laboratory Demographics

CLIA Number: 05D0891151

Facility Name: SEQUOIA FAMILY MEDICAL CENTER

Facility Address:
590 W PUTNAM AVE
PORTERVILLE, CA
ZIP 93257
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Facility Phone Number: (209) 781-3700

Facility Type: RURAL HEALTH CLINIC

Certificate Type: Waiver

NPI Number: 1528016987

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0891151
LAB Type	RURAL HEALTH CLINIC
Facility Name	SEQUOIA FAMILY MEDICAL CENTER
Street	590 W PUTNAM AVE
City	PORTERVILLE
State	CA
ZIP	93257
Phone	(209) 781-3700

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This page was last updated on: 5/11/2023