05D2297162 CLIA NUMBER - EMBRACE AESTHETICS MD & WOMEN'S HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 05D2297162
  • Facility Name: EMBRACE AESTHETICS MD & WOMEN'S HEALTH CENTER
  • Facility Address: 2137 HERNDON AVE #102
    CLOVIS, CA
    ZIP 93611
  • Facility Phone: 559 575-0406
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FENGLALY LEE
  • NPI Number: 1457136327
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D2297162
LAB Type Physician Office
Facility Name EMBRACE AESTHETICS MD & WOMEN'S HEALTH CENTER
Street 2137 HERNDON AVE #102
City CLOVIS
State CA
ZIP 93611
Phone 559 575-0406
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/11/2024
Certificate Expiration Date 1/10/2026
Facility Type Physician Office
Lab Director FENGLALY LEE

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