05D2190829 CLIA NUMBER - CALIFORNIA SURGICAL MEDICAL CLINICS INC

Laboratory Demographics

  • CLIA Code: 05D2190829
  • Facility Name: CALIFORNIA SURGICAL MEDICAL CLINICS INC
  • Facility Address: 1050 EAST PERRIN AVENUE, SUITE 103
    FRESNO, CA
    ZIP 93720
  • Facility Phone: 559 475-6675
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GHASSAN S. BACHIR
  • NPI Number: 1700883733
  • Taxonomy: 2084N0400X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 05D2190829
LAB Type Physician Office
Facility Name CALIFORNIA SURGICAL MEDICAL CLINICS INC
Street 1050 EAST PERRIN AVENUE, SUITE 103
City FRESNO
State CA
ZIP 93720
Phone 559 475-6675
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/19/2024
Certificate Expiration Date 8/18/2026
Facility Type Physician Office
Lab Director GHASSAN S. BACHIR

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