05D2262714 CLIA NUMBER - UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY (KINGSBURG)

Laboratory Demographics

CLIA Number: 05D2262714

Facility Name: UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY (KINGSBURG)

Facility Address:
1251 DRAPER ST
KINGSBURG, CA
ZIP 93631
Get Directions

Facility Phone Number: 559 646-6618

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1629621651

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D2262714
LAB Type	Federally Qualified Health Center
Facility Name	UNITED HEALTH CENTERS OF THE SAN JOAQUIN VALLEY (KINGSBURG)
Street	1251 DRAPER ST
City	KINGSBURG
State	CA
ZIP	93631
Phone	559 646-6618
CertificateType	4
CertificateEffectiveDate	6/16/2022
CertificateExpirationDate	6/15/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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