05D1085772 CLIA NUMBER - LINDSAY FAMILY & PEDIATRICS CLINIC

Laboratory Demographics

CLIA Number: 05D1085772

Facility Name: LINDSAY FAMILY & PEDIATRICS CLINIC

Facility Address:
825 SEQUOIA AVE
LINDSAY, CA
ZIP 93247
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Facility Phone Number: 559 562-9395

Facility Type: Rural Health Clinic

Certificate Type: Waiver

NPI Number: 1326167115

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1085772
LAB Type	Rural Health Clinic
Facility Name	LINDSAY FAMILY & PEDIATRICS CLINIC
Street	825 SEQUOIA AVE
City	LINDSAY
State	CA
ZIP	93247
Phone	559 562-9395
CertificateType	4
CertificateEffectiveDate	6/25/2022
CertificateExpirationDate	6/24/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024