05D1010932 CLIA NUMBER - TIPTON MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D1010932
  • Facility Name: TIPTON MEDICAL CLINIC
  • Facility Address: 565 N THOMPSON RD
    TIPTON, CA
    ZIP 93272
  • Facility Phone: 559 752-4147
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: SAMAN RATNAYAKE
  • NPI Number: 1528072527
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1010932
LAB Type Rural Health Clinic
Facility Name TIPTON MEDICAL CLINIC
Street 565 N THOMPSON RD
City TIPTON
State CA
ZIP 93272
Phone 559 752-4147
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/27/2025
Certificate Expiration Date 3/26/2027
Facility Type Rural Health Clinic
Lab Director SAMAN RATNAYAKE

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