05D2059772 CLIA NUMBER - CHESTNUT PEDIATRICS

Laboratory Demographics

  • CLIA Code: 05D2059772
  • Facility Name: CHESTNUT PEDIATRICS
  • Facility Address: 7055 N CHESTNUT STE 106
    FRESNO, CA
    ZIP 93720
  • Facility Phone: 559 797-4400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAZZI MOJIBI MD
  • NPI Number: 1164865291
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2059772
LAB Type Physician Office
Facility Name CHESTNUT PEDIATRICS
Street 7055 N CHESTNUT STE 106
City FRESNO
State CA
ZIP 93720
Phone 559 797-4400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/30/2025
Certificate Expiration Date 5/29/2027
Facility Type Physician Office
Lab Director NAZZI MOJIBI MD

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