05D1077276 CLIA NUMBER - CALIFORNIA IMAGING INSTITUTE DBA ADVANCED MEDICAL IMAGING

Laboratory Demographics

  • CLIA Code: 05D1077276
  • Facility Name: CALIFORNIA IMAGING INSTITUTE DBA ADVANCED MEDICAL IMAGING
  • Facility Address: 570 N MAGNOLIA AVE STE 103
    CLOVIS, CA
    ZIP 93611
  • Facility Phone: 559 447-4000
  • Facility Type: Other - MEDICAL IMAGING
  • Facility Type: Waiver
  • Lab Director: NITASHA K. BATTH
  • NPI Number: 1578574273
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D1077276
LAB Type Other - MEDICAL IMAGING
Facility Name CALIFORNIA IMAGING INSTITUTE DBA ADVANCED MEDICAL IMAGING
Street 570 N MAGNOLIA AVE STE 103
City CLOVIS
State CA
ZIP 93611
Phone 559 447-4000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Other - MEDICAL IMAGING
Lab Director NITASHA K. BATTH

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