05D2297048 CLIA NUMBER - HIGH DESERT PACE

Laboratory Demographics

  • CLIA Code: 05D2297048
  • Facility Name: HIGH DESERT PACE
  • Facility Address: 11833 AMETHYST ROAD
    VISALIA, CA
    ZIP 93292
  • Facility Phone: 760 932-0920
  • Facility Type: Other - PACE
  • Facility Type: Waiver
  • Lab Director: ARASH MILANI
  • NPI Number: 1184496739
  • Taxonomy: 207QG0300X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2297048
LAB Type Other - PACE
Facility Name HIGH DESERT PACE
Street 11833 AMETHYST ROAD
City VISALIA
State CA
ZIP 93292
Phone 760 932-0920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/10/2024
Certificate Expiration Date 1/9/2026
Facility Type Other - PACE
Lab Director ARASH MILANI

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