05D0934435 CLIA NUMBER - DINUBA RURAL HEALTH CENTER

Laboratory Demographics

CLIA Number: 05D0934435

Facility Name: DINUBA RURAL HEALTH CENTER

Facility Address:
420 E ELMONTE WY
DINUBA, CA
ZIP 93618
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Facility Phone Number: 559 449-1237

Facility Type: Rural Health Clinic

Certificate Type: Microscopy

NPI Number: 1467112607

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D0934435
LAB Type	Rural Health Clinic
Facility Name	DINUBA RURAL HEALTH CENTER
Street	420 E ELMONTE WY
City	DINUBA
State	CA
ZIP	93618
Phone	559 449-1237
CertificateType	3
CertificateEffectiveDate	10/6/2023
CertificateExpirationDate	10/5/2025
FacilityType	PPMP

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