05D0909060 CLIA NUMBER - HEALTHCARE CENTRE OF FRESNO

Laboratory Demographics

  • CLIA Code: 05D0909060
  • Facility Name: HEALTHCARE CENTRE OF FRESNO
  • Facility Address: 1665 M ST
    FRESNO, CA
    ZIP 93721
  • Facility Phone: 559 268-5361
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ROMAN MALLEY, MD
  • NPI Number: 1104064575
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0909060
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HEALTHCARE CENTRE OF FRESNO
Street 1665 M ST
City FRESNO
State CA
ZIP 93721
Phone 559 268-5361
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/17/2024
Certificate Expiration Date 8/16/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ROMAN MALLEY, MD

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