05D2304202 CLIA NUMBER - SIERRA MEDICINE, INC.

Laboratory Demographics

  • CLIA Code: 05D2304202
  • Facility Name: SIERRA MEDICINE, INC.
  • Facility Address: 5100 N 6TH ST, STE 157
    FRESNO, CA
    ZIP 93710
  • Facility Phone: 559 293-3155
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARA K. SOGHOMONIAN
  • NPI Number: 1497420848
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D2304202
LAB Type Physician Office
Facility Name SIERRA MEDICINE, INC.
Street 5100 N 6TH ST, STE 157
City FRESNO
State CA
ZIP 93710
Phone 559 293-3155
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/8/2024
Certificate Expiration Date 5/7/2026
Facility Type Physician Office
Lab Director ARA K. SOGHOMONIAN

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