05D1099394 CLIA NUMBER - SIERRA VIEW MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 05D1099394
  • Facility Name: SIERRA VIEW MEDICAL CENTER
  • Facility Address: 465 W PUTNAM AVENUE
    PORTERVILLE, CA
    ZIP 93257
  • Facility Phone: 559 788-6182
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: OWEN KIM, MD
  • NPI Number: 1689888109
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1099394
LAB Type Hospital
Facility Name SIERRA VIEW MEDICAL CENTER
Street 465 W PUTNAM AVENUE
City PORTERVILLE
State CA
ZIP 93257
Phone 559 788-6182
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Hospital
Lab Director OWEN KIM, MD

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