05D2047567 CLIA NUMBER - ANGELS PEDIATRICS, INC

Laboratory Demographics

  • CLIA Code: 05D2047567
  • Facility Name: ANGELS PEDIATRICS, INC
  • Facility Address: 1515 E ALLUVIAL AVE STE 105
    FRESNO, CA
    ZIP 93720
  • Facility Phone: 559 322-5515
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ENAS F. ATTIA
  • NPI Number: 1417292707
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2047567
LAB Type Physician Office
Facility Name ANGELS PEDIATRICS, INC
Street 1515 E ALLUVIAL AVE STE 105
City FRESNO
State CA
ZIP 93720
Phone 559 322-5515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/26/2024
Certificate Expiration Date 9/25/2026
Facility Type Physician Office
Lab Director ENAS F. ATTIA

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