05D2087009 CLIA NUMBER - CASA FLAMENGOS

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Field Name	Field Value
CLIA Number	05D2087009
LAB Type	Intermediate Care Facility for Mentally Retarded
Facility Name	CASA FLAMENGOS
Street	1580 E ALMENDRA
City	FRESNO
State	CA
ZIP	93710
Phone	559 485-5555
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	11/14/2024
Certificate Expiration Date	11/13/2026
Facility Type	Intermediate Care Facility for Mentally Retarded
Lab Director	ASHA PRITPAL S. SIDHU

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