05D1013787 CLIA NUMBER - ST MARYS HOME HEALTH SERVICES INC

Laboratory Demographics

CLIA Number: 05D1013787

Facility Name: ST MARYS HOME HEALTH SERVICES INC

Facility Address:
3180 E SHIELDS AVE #105
FRESNO, CA
ZIP 93726
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Facility Phone Number: 559 221-9919

Facility Type: Home Health Agency

Certificate Type: Waiver

NPI Number: 1184972713

Taxonomy: 251G00000X - Hospice Care, Community Based

CLIA Record

Field Name	Field Value
CLIA Number	05D1013787
LAB Type	Home Health Agency
Facility Name	ST MARYS HOME HEALTH SERVICES INC
Street	3180 E SHIELDS AVE #105
City	FRESNO
State	CA
ZIP	93726
Phone	559 221-9919
CertificateType	4
CertificateEffectiveDate	6/17/2023
CertificateExpirationDate	6/16/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024