05D0906612 CLIA NUMBER - HILLMAN HEALTH CARE CENTER

Laboratory Demographics

CLIA Number: 05D0906612

Facility Name: HILLMAN HEALTH CARE CENTER

Facility Address:
1062 SOUTH K STREET
TULARE, CA
ZIP 93274
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Facility Phone Number: 559 624-8491

Facility Type: Public Health Laboratories

Certificate Type: Waiver

NPI Number: 1356589410

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0906612
LAB Type	Public Health Laboratories
Facility Name	HILLMAN HEALTH CARE CENTER
Street	1062 SOUTH K STREET
City	TULARE
State	CA
ZIP	93274
Phone	559 624-8491
CertificateType	4
CertificateEffectiveDate	12/1/2022
CertificateExpirationDate	11/30/2024
FacilityType	Waiver

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