05D1087573 CLIA NUMBER - SAMUEL O LEON MD

Laboratory Demographics

  • CLIA Code: 05D1087573
  • Facility Name: SAMUEL O LEON MD
  • Facility Address: 560 W GRANGEVILLE BLVD STE C
    HANFORD, CA
    ZIP 93230
  • Facility Phone: 559 583-1110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL O. LEON MD
  • NPI Number: 1265486070
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1087573
LAB Type Physician Office
Facility Name SAMUEL O LEON MD
Street 560 W GRANGEVILLE BLVD STE C
City HANFORD
State CA
ZIP 93230
Phone 559 583-1110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Physician Office
Lab Director SAMUEL O. LEON MD

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