05D2267985 CLIA NUMBER - COMMUNITY PERINATOLOGY

Laboratory Demographics

CLIA Number: 05D2267985

Facility Name: COMMUNITY PERINATOLOGY

Facility Address:
2335 E KASHIAN LN STE 450
FRESNO, CA
ZIP 93701
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Facility Phone Number: 559 233-7700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1083639850

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	05D2267985
LAB Type	Physician Office
Facility Name	COMMUNITY PERINATOLOGY
Street	2335 E KASHIAN LN STE 450
City	FRESNO
State	CA
ZIP	93701
Phone	559 233-7700
CertificateType	4
CertificateEffectiveDate	9/2/2022
CertificateExpirationDate	9/1/2024
FacilityType	Waiver

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