05D1089855 CLIA NUMBER - TAMYRA GLASS MD

Laboratory Demographics

  • CLIA Code: 05D1089855
  • Facility Name: TAMYRA GLASS MD
  • Facility Address: 1141 I STREET
    REEDLEY, CA
    ZIP 93654
  • Facility Phone: 559 638-2210
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAMYRA D. GLASS MD
  • NPI Number: 1962428599
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1089855
LAB Type Physician Office
Facility Name TAMYRA GLASS MD
Street 1141 I STREET
City REEDLEY
State CA
ZIP 93654
Phone 559 638-2210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Physician Office
Lab Director TAMYRA D. GLASS MD

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