05D1080136 CLIA NUMBER - SIERRA HOUSE

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Field Name	Field Value
CLIA Number	05D1080136
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	SIERRA HOUSE
Street	6426 N FOURTH ST
City	FRESNO
State	CA
ZIP	93710
Phone	559 322-9305
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	2/14/2024
Certificate Expiration Date	2/13/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	APS SIDHU

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