05D0988563 CLIA NUMBER - JAN & GAILS CARE HOME #4

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CLIA Record

Field Name Field Value
CLIA Number 05D0988563
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name JAN & GAILS CARE HOME #4
Street 605 ARONIAN ST
City TULARE
State CA
ZIP 93274
Phone 559 685-1988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2025
Certificate Expiration Date 6/28/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director RON MARCONI MD

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