05D1013079 CLIA NUMBER - RAM L MITTAL MD ENDOSCOPY CENTER GASTROENTEROLOGY AND LIVER DISEASE MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 05D1013079
  • Facility Name: RAM L MITTAL MD ENDOSCOPY CENTER GASTROENTEROLOGY AND LIVER DISEASE MEDICAL CENTER
  • Facility Address: 7215 N FRESNO SUITE 101
    FRESNO, CA
    ZIP 93720
  • Facility Phone: 559 449-0309
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: RAM L. MITTAL MD
  • NPI Number: 1306893516
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1013079
LAB Type Ambulatory Surgery Center
Facility Name RAM L MITTAL MD ENDOSCOPY CENTER GASTROENTEROLOGY AND LIVER DISEASE MEDICAL CENTER
Street 7215 N FRESNO SUITE 101
City FRESNO
State CA
ZIP 93720
Phone 559 449-0309
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/29/2025
Certificate Expiration Date 5/28/2027
Facility Type Ambulatory Surgery Center
Lab Director RAM L. MITTAL MD

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