05D2020121 CLIA NUMBER - SHYAM BHASKAR, MD INC

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Laboratory Demographics

CLIA Number: 05D2020121

Facility Name: SHYAM BHASKAR, MD INC

Facility Address:
1425 MAIN ST
DELANO, CA
ZIP 93215
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Facility Phone Number: 661 778-0920

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1154679447

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2020121
LAB Type	Physician Office
Facility Name	SHYAM BHASKAR, MD INC
Street	1425 MAIN ST
City	DELANO
State	CA
ZIP	93215
Phone	661 778-0920
CertificateType	4
CertificateEffectiveDate	2/14/2023
CertificateExpirationDate	2/13/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024