05D2276454 CLIA NUMBER - ERICK MADRIGAL MD MBA INC

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  • CLIA Code: 05D2276454
  • Facility Name: ERICK MADRIGAL MD MBA INC
  • Facility Address: 101 N PALM STREET
    WOODLAKE, CA
    ZIP 93286
  • Facility Phone: 559 784-5483
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: ERICK M. MADRIGAL
  • NPI Number: 1437478856
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2276454
LAB Type Rural Health Clinic
Facility Name ERICK MADRIGAL MD MBA INC
Street 101 N PALM STREET
City WOODLAKE
State CA
ZIP 93286
Phone 559 784-5483
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Rural Health Clinic
Lab Director ERICK M. MADRIGAL

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