05D1052059 CLIA NUMBER - ADVENTIST HEALTH REEDLEY

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Laboratory Demographics

CLIA Number: 05D1052059

Facility Name: ADVENTIST HEALTH REEDLEY

Facility Address:
1451 E EL MONTE WAY
DINUBA, CA
ZIP 93618
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Facility Phone Number: 559 591-3342

Facility Type: Rural Health Clinic

Certificate Type: Microscopy

NPI Number: 1235578444

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1052059
LAB Type	Rural Health Clinic
Facility Name	ADVENTIST HEALTH REEDLEY
Street	1451 E EL MONTE WAY
City	DINUBA
State	CA
ZIP	93618
Phone	559 591-3342
CertificateType	3
CertificateEffectiveDate	1/22/2023
CertificateExpirationDate	1/21/2025
FacilityType	PPMP

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