05D2047427 CLIA NUMBER - SANG MEDICAL CORP

Laboratory Demographics

CLIA Number: 05D2047427

Facility Name: SANG MEDICAL CORP

Facility Address:
1122 S STREET STE 102
FRESNO, CA
ZIP 93721
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Facility Phone Number: 559 268-1737

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1003251687

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name Field Value
CLIA Number 05D2047427
LAB Type Physician Office
Facility Name SANG MEDICAL CORP
Street 1122 S STREET STE 102
City FRESNO
State CA
ZIP 93721
Phone 559 268-1737
CertificateType 4
CertificateEffectiveDate 9/24/2022
CertificateExpirationDate 9/23/2024
FacilityType Waiver

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