05D2291307 CLIA NUMBER - FWDIOP, INC FORWARD FAMILY SERVICES

Laboratory Demographics

  • CLIA Code: 05D2291307
  • Facility Name: FWDIOP, INC FORWARD FAMILY SERVICES
  • Facility Address: 2880 E FREMONT AVE
    FRESNO, CA
    ZIP 93710
  • Facility Phone: 559 575-8172
  • Facility Type: Other - SUBSTANCE USE DISORDER TR
  • Facility Type: Waiver
  • Lab Director: CHRISTIAN SMALL
  • NPI Number: 1962184036
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2291307
LAB Type Other - SUBSTANCE USE DISORDER TR
Facility Name FWDIOP, INC FORWARD FAMILY SERVICES
Street 2880 E FREMONT AVE
City FRESNO
State CA
ZIP 93710
Phone 559 575-8172
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/9/2023
Certificate Expiration Date 10/8/2025
Facility Type Other - SUBSTANCE USE DISORDER TR
Lab Director CHRISTIAN SMALL

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