05D0936928 CLIA NUMBER - GEORGE C MOLINA MD

Laboratory Demographics

  • CLIA Code: 05D0936928
  • Facility Name: GEORGE C MOLINA MD
  • Facility Address: 685 MEDICAL CENTER DRIVE WEST #102
    CLOVIS, CA
    ZIP 93611
  • Facility Phone: 559 297-3333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE C. MOLINA
  • NPI Number: 1952315848
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0936928
LAB Type Physician Office
Facility Name GEORGE C MOLINA MD
Street 685 MEDICAL CENTER DRIVE WEST #102
City CLOVIS
State CA
ZIP 93611
Phone 559 297-3333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/4/2023
Certificate Expiration Date 12/3/2025
Facility Type Physician Office
Lab Director GEORGE C. MOLINA

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