05D2250777 CLIA NUMBER - COALINGA MEDICAL CENTER RURAL HEALTH CLINICS

Laboratory Demographics

  • CLIA Code: 05D2250777
  • Facility Name: COALINGA MEDICAL CENTER RURAL HEALTH CLINICS
  • Facility Address: 1165 PHELPS AVE SUITE 105
    COALINGA, CA
    ZIP 93210
  • Facility Phone: 559 821-6100
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: TAO-PO TSCHANG
  • NPI Number: 1881139574
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D2250777
LAB Type Rural Health Clinic
Facility Name COALINGA MEDICAL CENTER RURAL HEALTH CLINICS
Street 1165 PHELPS AVE SUITE 105
City COALINGA
State CA
ZIP 93210
Phone 559 821-6100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2024
Certificate Expiration Date 1/27/2026
Facility Type Rural Health Clinic
Lab Director TAO-PO TSCHANG

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