05D2296161 CLIA NUMBER - KAILO FAMILY CLINICS

Laboratory Demographics

  • CLIA Code: 05D2296161
  • Facility Name: KAILO FAMILY CLINICS
  • Facility Address: 135 W SHAW AVE STE 100
    FRESNO, CA
    ZIP 93704
  • Facility Phone: 559 721-4110
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: HIPOLITO G. MARIANO JR
  • NPI Number: 1982479630
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2296161
LAB Type Physician Office
Facility Name KAILO FAMILY CLINICS
Street 135 W SHAW AVE STE 100
City FRESNO
State CA
ZIP 93704
Phone 559 721-4110
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Physician Office
Lab Director HIPOLITO G. MARIANO JR

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