05D2055816 CLIA NUMBER - SAINT AGNES CARE AVECINIA

Laboratory Demographics

  • CLIA Code: 05D2055816
  • Facility Name: SAINT AGNES CARE AVECINIA
  • Facility Address: 2006 SHAW AVE
    CLOVIS, CA
    ZIP 93611
  • Facility Phone: 559 450-5880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NADIA JAVAID
  • NPI Number: 1164890083
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2055816
LAB Type Physician Office
Facility Name SAINT AGNES CARE AVECINIA
Street 2006 SHAW AVE
City CLOVIS
State CA
ZIP 93611
Phone 559 450-5880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/18/2025
Certificate Expiration Date 3/17/2027
Facility Type Physician Office
Lab Director NADIA JAVAID

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