05D2190829 CLIA NUMBER - CALIFORNIA SURGICAL MEDICAL CLINICS INC

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Laboratory Demographics

CLIA Number: 05D2190829

Facility Name: CALIFORNIA SURGICAL MEDICAL CLINICS INC

Facility Address:
1050 EAST PERRIN AVENUE, SUITE 103
FRESNO, CA
ZIP 93720
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Facility Phone Number: 559 475-6675

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1700883733

Taxonomy: 2084N0400X - Psychiatry & Neurology
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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
CertificateType	4
CertificateEffectiveDate	8/19/2022
CertificateExpirationDate	8/18/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024