05D2323320 CLIA NUMBER - MAGNOLIA HEALTH SYSTEM

Laboratory Demographics

  • CLIA Code: 05D2323320
  • Facility Name: MAGNOLIA HEALTH SYSTEM
  • Facility Address: 1130 E SHAW AVENUE, SUITE 104
    FRESNO, CA
    ZIP 93710
  • Facility Phone: 559 406-9838
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: TARLOCHAN S. TAGORE
  • NPI Number: 1114725090
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 05D2323320
LAB Type Home Health Agency
Facility Name MAGNOLIA HEALTH SYSTEM
Street 1130 E SHAW AVENUE, SUITE 104
City FRESNO
State CA
ZIP 93710
Phone 559 406-9838
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Home Health Agency
Lab Director TARLOCHAN S. TAGORE

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