05D1003325 CLIA NUMBER - JAN & GAILS CARE HOME #5

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CLIA Record

Field Name Field Value
CLIA Number 05D1003325
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name JAN & GAILS CARE HOME #5
Street 1727 N OAKS ST
City TULARE
State CA
ZIP 93274
Phone 559 686-3538
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2024
Certificate Expiration Date 8/26/2026
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director RONALD MARCONI MD

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