05D2084514 CLIA NUMBER - KAWEAH HEALTH MEDICAL CLINIC - WILLOW

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Laboratory Demographics

CLIA Number: 05D2084514

Facility Name: KAWEAH HEALTH MEDICAL CLINIC - WILLOW

Facility Address:
202 W WILLOW AVE, STE 502
VISALIA, CA
ZIP 93291
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Facility Phone Number: 559 624-4828

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1740688894

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name	Field Value
CLIA Number	05D2084514
LAB Type	Physician Office
Facility Name	KAWEAH HEALTH MEDICAL CLINIC - WILLOW
Street	202 W WILLOW AVE, STE 502
City	VISALIA
State	CA
ZIP	93291
Phone	559 624-4828
CertificateType	4
CertificateEffectiveDate	4/22/2024
CertificateExpirationDate	4/21/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024