05D0893824 CLIA NUMBER - ARVIN COMMUNITY HEALTH CENTER

Laboratory Demographics

CLIA Number: 05D0893824

Facility Name: ARVIN COMMUNITY HEALTH CENTER

Facility Address:
1305 BEAR MOUNTAIN BLVD
ARVIN, CA
ZIP 93203
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Facility Phone Number: 661 328-4295

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1518969211

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0893824
LAB Type	Federally Qualified Health Center
Facility Name	ARVIN COMMUNITY HEALTH CENTER
Street	1305 BEAR MOUNTAIN BLVD
City	ARVIN
State	CA
ZIP	93203
Phone	661 328-4295
CertificateType	4
CertificateEffectiveDate	9/2/2023
CertificateExpirationDate	9/1/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024