05D2068465 CLIA NUMBER - ADVENTIST HEALTH PHYSICIANS NETWORK - SELMA

Laboratory Demographics

  • CLIA Code: 05D2068465
  • Facility Name: ADVENTIST HEALTH PHYSICIANS NETWORK - SELMA
  • Facility Address: 1142 ROSE AVE, STE A, B, C
    SELMA, CA
    ZIP 93662
  • Facility Phone: 559 537-0420
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAUL AYALA
  • NPI Number: 1154753002
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2068465
LAB Type Physician Office
Facility Name ADVENTIST HEALTH PHYSICIANS NETWORK - SELMA
Street 1142 ROSE AVE, STE A, B, C
City SELMA
State CA
ZIP 93662
Phone 559 537-0420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2023
Certificate Expiration Date 11/4/2025
Facility Type Physician Office
Lab Director RAUL AYALA

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