05D2276902 CLIA NUMBER - PREMIUM URGENT CARE

Laboratory Demographics

  • CLIA Code: 05D2276902
  • Facility Name: PREMIUM URGENT CARE
  • Facility Address: 1477 E SHAW AVE, STE 150
    FRESNO, CA
    ZIP 93710
  • Facility Phone: 559 797-4315
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MICHAEL WEILERT
  • NPI Number: 1073055323
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2276902
LAB Type Physician Office
Facility Name PREMIUM URGENT CARE
Street 1477 E SHAW AVE, STE 150
City FRESNO
State CA
ZIP 93710
Phone 559 797-4315
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 2/16/2023
Certificate Expiration Date 9/30/2025
Facility Type Physician Office
Lab Director MICHAEL WEILERT

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