05D2001812 CLIA NUMBER - THE LIVING ROOM

Laboratory Demographics

  • CLIA Code: 05D2001812
  • Facility Name: THE LIVING ROOM
  • Facility Address: 1850 N GATEWAY BLVD STE 100
    FRESNO, CA
    ZIP 93727
  • Facility Phone: 559 251-4800
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: HERBERT A. CRUZ
  • NPI Number: 1164741070
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 05D2001812
LAB Type Ancillary Testing Site in Health Care Center
Facility Name THE LIVING ROOM
Street 1850 N GATEWAY BLVD STE 100
City FRESNO
State CA
ZIP 93727
Phone 559 251-4800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director HERBERT A. CRUZ

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