05D2159976 CLIA NUMBER - CASA FAIAL

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CLIA Record

Field Name Field Value
CLIA Number 05D2159976
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name CASA FAIAL
Street 668 W. ROBINWOOD LANE
City FRESNO
State CA
ZIP 93704
Phone 559 435-6010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/2/2025
Certificate Expiration Date 1/1/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director APS SIDHU

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