05D2167092 CLIA NUMBER - DYNACARE DIAGNOSTIC

Laboratory Demographics

  • CLIA Code: 05D2167092
  • Facility Name: DYNACARE DIAGNOSTIC
  • Facility Address: 2166 SHAW AVE STE #104
    CLOVIS, CA
    ZIP 93611
  • Facility Phone: 559 862-8636
  • Facility Type: Independent
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. NAVDEEP S. GILL
  • NPI Number: 1598599482
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 05D2167092
LAB Type Independent
Facility Name DYNACARE DIAGNOSTIC
Street 2166 SHAW AVE STE #104
City CLOVIS
State CA
ZIP 93611
Phone 559 862-8636
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 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Independent
Lab Director DR. NAVDEEP S. GILL

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