05D1068674 CLIA NUMBER - INDERJIT K DHILLON, MD

Laboratory Demographics

  • CLIA Code: 05D1068674
  • Facility Name: INDERJIT K DHILLON, MD
  • Facility Address: 5043 E KINGS CANYON ROAD, SUITE 101
    FRESNO, CA
    ZIP 93727
  • Facility Phone: 559 455-1500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: INDERJIT K. DHILLON, MD
  • NPI Number: 1285791806
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1068674
LAB Type Physician Office
Facility Name INDERJIT K DHILLON, MD
Street 5043 E KINGS CANYON ROAD, SUITE 101
City FRESNO
State CA
ZIP 93727
Phone 559 455-1500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/12/2025
Certificate Expiration Date 6/11/2027
Facility Type Physician Office
Lab Director INDERJIT K. DHILLON, MD

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