05D1083459 CLIA NUMBER - NALLATHAMBY THAYAPRAN MD INC

Laboratory Demographics

  • CLIA Code: 05D1083459
  • Facility Name: NALLATHAMBY THAYAPRAN MD INC
  • Facility Address: 240 N PORTER RD
    PORTERVILLE, CA
    ZIP 93257
  • Facility Phone: 559 793-2677
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NALLATHAMBY THAYAPRAN MD
  • NPI Number: 1386740421
  • Taxonomy: 207RI0011X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1083459
LAB Type Physician Office
Facility Name NALLATHAMBY THAYAPRAN MD INC
Street 240 N PORTER RD
City PORTERVILLE
State CA
ZIP 93257
Phone 559 793-2677
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Physician Office
Lab Director NALLATHAMBY THAYAPRAN MD

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