05D2199152 CLIA NUMBER - CHERRY CLINIC

Laboratory Demographics

  • CLIA Code: 05D2199152
  • Facility Name: CHERRY CLINIC
  • Facility Address: 40657 ROAD 128
    CUTLER, CA
    ZIP 93615
  • Facility Phone: 559 361-9091
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALBERTO RUVALCABA MD
  • NPI Number: 1275146037
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 05D2199152
LAB Type Physician Office
Facility Name CHERRY CLINIC
Street 40657 ROAD 128
City CUTLER
State CA
ZIP 93615
Phone 559 361-9091
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Physician Office
Lab Director ALBERTO RUVALCABA MD

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