05D2161746 CLIA NUMBER - CASA SANTA MARIA

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CLIA Record

Field Name Field Value
CLIA Number 05D2161746
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name CASA SANTA MARIA
Street 1236 E. GETTSBURG AVENUE
City FRESNO
State CA
ZIP 93704
Phone 559 227-8748
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
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