05D2083508 CLIA NUMBER - OMNIA HEALTHCARE, LLC

Laboratory Demographics

  • CLIA Code: 05D2083508
  • Facility Name: OMNIA HEALTHCARE, LLC
  • Facility Address: 105 BULLARD AVE
    CLOVIS, CA
    ZIP 93612
  • Facility Phone: 559 772-4673
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KENTY U. SIAN
  • NPI Number: 1154748465
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 05D2083508
LAB Type Home Health Agency
Facility Name OMNIA HEALTHCARE, LLC
Street 105 BULLARD AVE
City CLOVIS
State CA
ZIP 93612
Phone 559 772-4673
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Home Health Agency
Lab Director KENTY U. SIAN

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