05D2018647 CLIA NUMBER - JACQUELINE G DE CASTRO, MD INC

Laboratory Demographics

  • CLIA Code: 05D2018647
  • Facility Name: JACQUELINE G DE CASTRO, MD INC
  • Facility Address: 1457 BAILEY DR
    HANFORD, CA
    ZIP 93230
  • Facility Phone: 559 582-9100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JACQUELINE DE CASTRO
  • NPI Number: 1124241559
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2018647
LAB Type Physician Office
Facility Name JACQUELINE G DE CASTRO, MD INC
Street 1457 BAILEY DR
City HANFORD
State CA
ZIP 93230
Phone 559 582-9100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2025
Certificate Expiration Date 1/10/2027
Facility Type Physician Office
Lab Director JACQUELINE DE CASTRO

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