05D2262588 CLIA NUMBER - SANG MEDICAL CORP

Laboratory Demographics

  • CLIA Code: 05D2262588
  • Facility Name: SANG MEDICAL CORP
  • Facility Address: 6733 N WILLOW AVE STE 102
    FRESNO, CA
    ZIP 93710
  • Facility Phone: 559 268-1737
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NEW SANG
  • NPI Number: 1003251687
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 05D2262588
LAB Type Physician Office
Facility Name SANG MEDICAL CORP
Street 6733 N WILLOW AVE STE 102
City FRESNO
State CA
ZIP 93710
Phone 559 268-1737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Physician Office
Lab Director NEW SANG

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