05D0942604 CLIA NUMBER - DANIEL E HARDY, MD

Laboratory Demographics

CLIA Number: 05D0942604

Facility Name: DANIEL E HARDY, MD

Facility Address:
801 WEST L STREET
LOS BANOS, CA
ZIP 93635
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Facility Phone Number: 209 827-3303

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1689679045

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D0942604
LAB Type	Physician Office
Facility Name	DANIEL E HARDY, MD
Street	801 WEST L STREET
City	LOS BANOS
State	CA
ZIP	93635
Phone	209 827-3303
CertificateType	4
CertificateEffectiveDate	5/24/2022
CertificateExpirationDate	5/23/2024
FacilityType	Waiver

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