05D2289509 CLIA NUMBER - VISALIA RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 05D2289509
  • Facility Name: VISALIA RECOVERY CENTER
  • Facility Address: 4040 S DEMAREE ST UNIT A
    VISALIA, CA
    ZIP 93277
  • Facility Phone: 559 625-8176
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: CORY JAQUES
  • NPI Number: 1316247455
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2289509
LAB Type Comp. Outpatient Rehab Facility
Facility Name VISALIA RECOVERY CENTER
Street 4040 S DEMAREE ST UNIT A
City VISALIA
State CA
ZIP 93277
Phone 559 625-8176
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/12/2025
Certificate Expiration Date 9/11/2027
Facility Type Comp. Outpatient Rehab Facility
Lab Director CORY JAQUES

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