05D2173050 CLIA NUMBER - CLOVIS COMMUNITY COLLEGE HEALTH SERVICES OFFICE

Laboratory Demographics

  • CLIA Code: 05D2173050
  • Facility Name: CLOVIS COMMUNITY COLLEGE HEALTH SERVICES OFFICE
  • Facility Address: 10309 N WILLOW AVENUE
    FRESNO, CA
    ZIP 93730
  • Facility Phone: 559 325-5318
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: IVAN M. GOMEZ
  • NPI Number: 1326406216
  • Taxonomy: 261QS1000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2173050
LAB Type School/Student Health Service
Facility Name CLOVIS COMMUNITY COLLEGE HEALTH SERVICES OFFICE
Street 10309 N WILLOW AVENUE
City FRESNO
State CA
ZIP 93730
Phone 559 325-5318
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/4/2023
Certificate Expiration Date 10/3/2025
Facility Type School/Student Health Service
Lab Director IVAN M. GOMEZ

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