05D2048800 CLIA NUMBER - CLINICA SIERRA VISTA DBA WEST SHAW COMMUNITY HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D2048800
  • Facility Name: CLINICA SIERRA VISTA DBA WEST SHAW COMMUNITY HEALTH CENTER
  • Facility Address: 3645 W SHAW AVE, STE 101
    FRESNO, CA
    ZIP 93711
  • Facility Phone: 559 457-6800
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: OLGA MEAVE
  • NPI Number: 1033486048
  • Taxonomy: 261QF0400X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 05D2048800
LAB Type Federally Qualified Health Center
Facility Name CLINICA SIERRA VISTA DBA WEST SHAW COMMUNITY HEALTH CENTER
Street 3645 W SHAW AVE, STE 101
City FRESNO
State CA
ZIP 93711
Phone 559 457-6800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/23/2024
Certificate Expiration Date 10/22/2026
Facility Type Federally Qualified Health Center
Lab Director OLGA MEAVE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 6/4/2025