05D0998718 CLIA NUMBER - CENTRAL CALIFORNIA ENDOSCOPY CENTER

Laboratory Demographics

  • CLIA Code: 05D0998718
  • Facility Name: CENTRAL CALIFORNIA ENDOSCOPY CENTER
  • Facility Address: 7055 N FRESNO ST STE-100
    FRESNO, CA
    ZIP 93720
  • Facility Phone: 559 440-9100
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: PATRICK GINN
  • NPI Number: 1508869645
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0998718
LAB Type Ambulatory Surgery Center
Facility Name CENTRAL CALIFORNIA ENDOSCOPY CENTER
Street 7055 N FRESNO ST STE-100
City FRESNO
State CA
ZIP 93720
Phone 559 440-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Ambulatory Surgery Center
Lab Director PATRICK GINN

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