05D2176625 CLIA NUMBER - ADDAMS ELEMENTARY SCHOOL HEALTH AND WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 05D2176625
  • Facility Name: ADDAMS ELEMENTARY SCHOOL HEALTH AND WELLNESS CENTER
  • Facility Address: 1510 NORTH LAFAYETTE AVE
    FRESNO, CA
    ZIP 93728
  • Facility Phone: 559 457-5200
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JEFFERY HANRAHAN
  • NPI Number: 1053969642
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2176625
LAB Type Federally Qualified Health Center
Facility Name ADDAMS ELEMENTARY SCHOOL HEALTH AND WELLNESS CENTER
Street 1510 NORTH LAFAYETTE AVE
City FRESNO
State CA
ZIP 93728
Phone 559 457-5200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Federally Qualified Health Center
Lab Director JEFFERY HANRAHAN

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