05D2313692 CLIA NUMBER - PRACTICALMED INC DBA CASTILLO CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D2313692
  • Facility Name: PRACTICALMED INC DBA CASTILLO CARE CENTER
  • Facility Address: 5405 HILLSDALE AVE
    VISALIA, CA
    ZIP 93291
  • Facility Phone: 559 556-5591
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: FAUSTO J. CASTILLO
  • NPI Number: 1245945203
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D2313692
LAB Type Physician Office
Facility Name PRACTICALMED INC DBA CASTILLO CARE CENTER
Street 5405 HILLSDALE AVE
City VISALIA
State CA
ZIP 93291
Phone 559 556-5591
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/5/2024
Certificate Expiration Date 11/4/2026
Facility Type Physician Office
Lab Director FAUSTO J. CASTILLO

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