05D2123479 CLIA NUMBER - KINGS MEDICAL GROUP PC

Laboratory Demographics

  • CLIA Code: 05D2123479
  • Facility Name: KINGS MEDICAL GROUP PC
  • Facility Address: 808 VAUGHN ST
    HANFORD, CA
    ZIP 93230
  • Facility Phone: 559 410-8404
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN R. GAVINI, MD
  • NPI Number: 1972919116
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2123479
LAB Type Physician Office
Facility Name KINGS MEDICAL GROUP PC
Street 808 VAUGHN ST
City HANFORD
State CA
ZIP 93230
Phone 559 410-8404
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Physician Office
Lab Director JOHN R. GAVINI, MD

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