05D1021091 CLIA NUMBER - MADERA COUNTY PUBLIC HEALTH

Laboratory Demographics

  • CLIA Code: 05D1021091
  • Facility Name: MADERA COUNTY PUBLIC HEALTH
  • Facility Address: 1604 SUNRISE AVE
    MADERA, CA
    ZIP 93638
  • Facility Phone: 559 675-7893
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: THOMAS COLE
  • NPI Number: 1164662094
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D1021091
LAB Type Community Clinic
Facility Name MADERA COUNTY PUBLIC HEALTH
Street 1604 SUNRISE AVE
City MADERA
State CA
ZIP 93638
Phone 559 675-7893
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Community Clinic
Lab Director THOMAS COLE

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