05D2047896 CLIA NUMBER - BLYTHE VA CLINIC

Laboratory Demographics

  • CLIA Code: 05D2047896
  • Facility Name: BLYTHE VA CLINIC
  • Facility Address: 1273 WEST HOBSON WAY
    BLYTHE, CA
    ZIP 92225
  • Facility Phone: 760 921-1224
  • Facility Type: Community Clinic
  • Facility Type: Accreditation
  • Lab Director: FOUAD ABDELHALIM
  • NPI Number: 1548651516
  • Taxonomy: 261QV0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2047896
LAB Type Community Clinic
Facility Name BLYTHE VA CLINIC
Street 1273 WEST HOBSON WAY
City BLYTHE
State CA
ZIP 92225
Phone 760 921-1224
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director FOUAD ABDELHALIM

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