05D2042073 CLIA NUMBER - CENTRAL COAST URGENT CARE DBA URGENTCARE OF HANFORD

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Laboratory Demographics

CLIA Number: 05D2042073

Facility Name: CENTRAL COAST URGENT CARE DBA URGENTCARE OF HANFORD

Facility Address:
1028 N DOUTY ST STE 1
HANFORD, CA
ZIP 93230
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Facility Phone Number: 559 530-2526

Facility Type: Other - URGENT CARE

Certificate Type: Waiver

NPI Number: 1427372226

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2042073
LAB Type	Other - URGENT CARE
Facility Name	CENTRAL COAST URGENT CARE DBA URGENTCARE OF HANFORD
Street	1028 N DOUTY ST STE 1
City	HANFORD
State	CA
ZIP	93230
Phone	559 530-2526
CertificateType	4
CertificateEffectiveDate	6/5/2022
CertificateExpirationDate	6/4/2024
FacilityType	Waiver

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