05D2141536 CLIA NUMBER - MARIA'S HOUSE

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CLIA Record

Field Name Field Value
CLIA Number 05D2141536
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name MARIA'S HOUSE
Street 6567 N LAUREEN AVE
City FRESNO
State CA
ZIP 93710
Phone 559 449-1605
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/15/2023
Certificate Expiration Date 12/14/2025
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director ARMEN H. BEDROSIAN

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