05D2057550 CLIA NUMBER - ADVENTIST HEALTH REEDLEY

Laboratory Demographics

  • CLIA Code: 05D2057550
  • Facility Name: ADVENTIST HEALTH REEDLEY
  • Facility Address: 3567 W MT WHITNEY AVE
    RIVERDALE, CA
    ZIP 93656
  • Facility Phone: 559 867-7200
  • Facility Type: Rural Health Clinic
  • Facility Type: Microscopy
  • Lab Director: RAUL AYALA
  • NPI Number: 1679819742
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2057550
LAB Type Rural Health Clinic
Facility Name ADVENTIST HEALTH REEDLEY
Street 3567 W MT WHITNEY AVE
City RIVERDALE
State CA
ZIP 93656
Phone 559 867-7200
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/18/2025
Certificate Expiration Date 4/17/2027
Facility Type Rural Health Clinic
Lab Director RAUL AYALA

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