05D1061730 CLIA NUMBER - DR OCHOA FAMILY CLINIC

Laboratory Demographics

  • CLIA Code: 05D1061730
  • Facility Name: DR OCHOA FAMILY CLINIC
  • Facility Address: 3275 MCCALL AVE, SUITE 102 ATTN EDWARD
    SELMA, CA
    ZIP 93662
  • Facility Phone: 559 896-3808
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIO A. OCHOA
  • NPI Number: 1376674770
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1061730
LAB Type Physician Office
Facility Name DR OCHOA FAMILY CLINIC
Street 3275 MCCALL AVE, SUITE 102 ATTN EDWARD
City SELMA
State CA
ZIP 93662
Phone 559 896-3808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2024
Certificate Expiration Date 11/26/2026
Facility Type Physician Office
Lab Director MARIO A. OCHOA

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