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

Laboratory Demographics

  • CLIA Code: 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
  • Facility Phone: 559 437-9024
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANILA C. THAMPY, MD
  • NPI Number: 1891911269
  • Taxonomy: 2080A0000X - Pediatrics

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/12/2023
Certificate Expiration Date 10/11/2025
Facility Type Physician Office
Lab Director ANILA C. THAMPY, MD

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This page was last updated on: 6/4/2025