05D2273999 CLIA NUMBER - MONARCH MEDICAL CLINIC

Laboratory Demographics

  • CLIA Code: 05D2273999
  • Facility Name: MONARCH MEDICAL CLINIC
  • Facility Address: 4590 E CLINTON AVE
    FRESNO, CA
    ZIP 93703
  • Facility Phone: 559 878-4804
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BEN RAD
  • NPI Number: 1346992351
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2273999
LAB Type Physician Office
Facility Name MONARCH MEDICAL CLINIC
Street 4590 E CLINTON AVE
City FRESNO
State CA
ZIP 93703
Phone 559 878-4804
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Physician Office
Lab Director BEN RAD

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