05D2115707 CLIA NUMBER - SHYAM BHASKAR MD INC

Laboratory Demographics

  • CLIA Code: 05D2115707
  • Facility Name: SHYAM BHASKAR MD INC
  • Facility Address: 1105 N DOUTY STE B
    HANFORD, CA
    ZIP 93230
  • Facility Phone: 559 635-7100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHYAM BHASKAR
  • NPI Number: 1194788158
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2115707
LAB Type Physician Office
Facility Name SHYAM BHASKAR MD INC
Street 1105 N DOUTY STE B
City HANFORD
State CA
ZIP 93230
Phone 559 635-7100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/12/2024
Certificate Expiration Date 7/11/2026
Facility Type Physician Office
Lab Director SHYAM BHASKAR

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