05D0921920 CLIA NUMBER - LOUIS HERNANDEZ, MD

Laboratory Demographics

  • CLIA Code: 05D0921920
  • Facility Name: LOUIS HERNANDEZ, MD
  • Facility Address: 405 RIVERSIDE
    MADERA, CA
    ZIP 93638
  • Facility Phone: 559 661-0247
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LOUIS HERNANDEZ
  • NPI Number: 1730295189
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0921920
LAB Type Physician Office
Facility Name LOUIS HERNANDEZ, MD
Street 405 RIVERSIDE
City MADERA
State CA
ZIP 93638
Phone 559 661-0247
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/8/2024
Certificate Expiration Date 11/7/2026
Facility Type Physician Office
Lab Director LOUIS HERNANDEZ

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