05D2089369 CLIA NUMBER - RICHARD K ELIA MD

Laboratory Demographics

  • CLIA Code: 05D2089369
  • Facility Name: RICHARD K ELIA MD
  • Facility Address: 5375 N PALM AVE
    FRESNO, CA
    ZIP 93704
  • Facility Phone: 559 435-3542
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RICHARD K. ELIA
  • NPI Number: 1841499381
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2089369
LAB Type Physician Office
Facility Name RICHARD K ELIA MD
Street 5375 N PALM AVE
City FRESNO
State CA
ZIP 93704
Phone 559 435-3542
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Physician Office
Lab Director RICHARD K. ELIA

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