05D2323468 CLIA NUMBER - HER HARBOR LLC

Laboratory Demographics

  • CLIA Code: 05D2323468
  • Facility Name: HER HARBOR LLC
  • Facility Address: 6435 N PALM AVE 104
    FRESNO, CA
    ZIP 93704
  • Facility Phone: 559 761-4519
  • Facility Type: Other - SUBSTANCE USE DISORDER TR
  • Facility Type: Waiver
  • Lab Director: SUHKJIT BRAR
  • NPI Number: 1164239299
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2323468
LAB Type Other - SUBSTANCE USE DISORDER TR
Facility Name HER HARBOR LLC
Street 6435 N PALM AVE 104
City FRESNO
State CA
ZIP 93704
Phone 559 761-4519
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Other - SUBSTANCE USE DISORDER TR
Lab Director SUHKJIT BRAR

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