05D1083548 CLIA NUMBER - VALLEY MEDICAL SYSTEMS INC DBA VALLEY HOME HEALTH

Laboratory Demographics

  • CLIA Code: 05D1083548
  • Facility Name: VALLEY MEDICAL SYSTEMS INC DBA VALLEY HOME HEALTH
  • Facility Address: 2511 W SHAW AVE, STE 101
    FRESNO, CA
    ZIP 93711
  • Facility Phone: 559 222-4060
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: MICHAEL GROMIS
  • NPI Number: 1952434185
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D1083548
LAB Type Home Health Agency
Facility Name VALLEY MEDICAL SYSTEMS INC DBA VALLEY HOME HEALTH
Street 2511 W SHAW AVE, STE 101
City FRESNO
State CA
ZIP 93711
Phone 559 222-4060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Home Health Agency
Lab Director MICHAEL GROMIS

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