05D2030031 CLIA NUMBER - BARNES DENTAL SURGERY CENTER, INC.

Laboratory Demographics

  • CLIA Code: 05D2030031
  • Facility Name: BARNES DENTAL SURGERY CENTER, INC.
  • Facility Address: 2626 S MOONEY BLVD STE C
    VISALIA, CA
    ZIP 93277
  • Facility Phone: 559 635-0206
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: WILLIAM C. HOLVIK MD
  • NPI Number: 1962845693
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 05D2030031
LAB Type Ambulatory Surgery Center
Facility Name BARNES DENTAL SURGERY CENTER, INC.
Street 2626 S MOONEY BLVD STE C
City VISALIA
State CA
ZIP 93277
Phone 559 635-0206
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Ambulatory Surgery Center
Lab Director WILLIAM C. HOLVIK MD

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