05D1046520 CLIA NUMBER - ANILA C. THAMPY MD INC DBA SIERRA PEDIATRIC MEDICAL CENTER INC

Laboratory Demographics

CLIA Number: 05D1046520

Facility Name: ANILA C. THAMPY MD INC DBA SIERRA PEDIATRIC MEDICAL CENTER INC

Facility Address:
7105 N. CHESTNUT AVENUE, SUITE 102
FRESNO, CA
ZIP 93720
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Facility Phone Number: 559 437-9024

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1891911269

Taxonomy: 2080A0000X - Pediatrics
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

CLIA Record

Field Name	Field Value
CLIA Number	05D1046520
LAB Type	Physician Office
Facility Name	ANILA C. THAMPY MD INC DBA SIERRA PEDIATRIC MEDICAL CENTER INC
Street	7105 N. CHESTNUT AVENUE, SUITE 102
City	FRESNO
State	CA
ZIP	93720
Phone	559 437-9024
CertificateType	4
CertificateEffectiveDate	10/12/2023
CertificateExpirationDate	10/11/2025
FacilityType	Waiver

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