05D2076099 CLIA NUMBER - ADVANCED INTERNAL MEDICINE ASSOCIATES, INC

Laboratory Demographics

  • CLIA Code: 05D2076099
  • Facility Name: ADVANCED INTERNAL MEDICINE ASSOCIATES, INC
  • Facility Address: 1111 W. 4TH ST, BLDG B
    MADERA, CA
    ZIP 93637
  • Facility Phone: 559 706-8712
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLAN NASSAR
  • NPI Number: 1598187486
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2076099
LAB Type Physician Office
Facility Name ADVANCED INTERNAL MEDICINE ASSOCIATES, INC
Street 1111 W. 4TH ST, BLDG B
City MADERA
State CA
ZIP 93637
Phone 559 706-8712
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/11/2024
Certificate Expiration Date 4/10/2026
Facility Type Physician Office
Lab Director ALLAN NASSAR

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