05D2111306 CLIA NUMBER - LIMB PRESERVATION PLATFORM INC

Laboratory Demographics

  • CLIA Code: 05D2111306
  • Facility Name: LIMB PRESERVATION PLATFORM INC
  • Facility Address: 6215 N FRESNO ST STE 108
    FRESNO, CA
    ZIP 93720
  • Facility Phone: 800 714-8011
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LEO FONG
  • NPI Number: 1205230646
  • Taxonomy: 213ES0103X - Podiatrist

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CLIA Record

Field Name Field Value
CLIA Number 05D2111306
LAB Type Physician Office
Facility Name LIMB PRESERVATION PLATFORM INC
Street 6215 N FRESNO ST STE 108
City FRESNO
State CA
ZIP 93720
Phone 800 714-8011
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/4/2024
Certificate Expiration Date 4/3/2026
Facility Type Physician Office
Lab Director LEO FONG

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