05D2165559 CLIA NUMBER - BOSWELL DERMATOLOGY

Laboratory Demographics

  • CLIA Code: 05D2165559
  • Facility Name: BOSWELL DERMATOLOGY
  • Facility Address: 6730 N WEST AVENUE
    FRESNO, CA
    ZIP 93711
  • Facility Phone: 559 439-3000
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOHN S. BOSWELL
  • NPI Number: 1275871972
  • Taxonomy: 207N00000X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D2165559
LAB Type Physician Office
Facility Name BOSWELL DERMATOLOGY
Street 6730 N WEST AVENUE
City FRESNO
State CA
ZIP 93711
Phone 559 439-3000
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/8/2024
Certificate Expiration Date 10/7/2026
Facility Type Physician Office
Lab Director JOHN S. BOSWELL

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This page was last updated on: 6/4/2025