05D0995686 CLIA NUMBER - CENTRAL VALLEY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 05D0995686
  • Facility Name: CENTRAL VALLEY PEDIATRICS
  • Facility Address: 7025 N MAPLE AVE, #108
    FRESNO, CA
    ZIP 93720
  • Facility Phone: 559 431-6600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAYMOND C. MIRANDA
  • NPI Number: 1003992710
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D0995686
LAB Type Physician Office
Facility Name CENTRAL VALLEY PEDIATRICS
Street 7025 N MAPLE AVE, #108
City FRESNO
State CA
ZIP 93720
Phone 559 431-6600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Physician Office
Lab Director RAYMOND C. MIRANDA

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