05D1094881 CLIA NUMBER - NIDHI MEHROTRA MD

Laboratory Demographics

  • CLIA Code: 05D1094881
  • Facility Name: NIDHI MEHROTRA MD
  • Facility Address: 6769 N WILLOW AVE STE 101
    FRESNO, CA
    ZIP 93710
  • Facility Phone: 559 325-2400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NIDHI MEHROTRA MD
  • NPI Number: 1679657043
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D1094881
LAB Type Physician Office
Facility Name NIDHI MEHROTRA MD
Street 6769 N WILLOW AVE STE 101
City FRESNO
State CA
ZIP 93710
Phone 559 325-2400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Physician Office
Lab Director NIDHI MEHROTRA MD

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