05D2107634 CLIA NUMBER - CONTEMPORARY FAMILY PRACTICE INC

Laboratory Demographics

  • CLIA Code: 05D2107634
  • Facility Name: CONTEMPORARY FAMILY PRACTICE INC
  • Facility Address: 1560 W LACEY BLVD STE 101
    HANFORD, CA
    ZIP 93230
  • Facility Phone: 599 309-3875
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIC N. SORENSEN
  • NPI Number: 1619367398
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2107634
LAB Type Physician Office
Facility Name CONTEMPORARY FAMILY PRACTICE INC
Street 1560 W LACEY BLVD STE 101
City HANFORD
State CA
ZIP 93230
Phone 599 309-3875
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/19/2024
Certificate Expiration Date 1/18/2026
Facility Type Physician Office
Lab Director ERIC N. SORENSEN

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This page was last updated on: 6/4/2025