05D2328046 CLIA NUMBER - MUIR WOOD ADOLESCENT AND FAMILY SERVICES

Laboratory Demographics

  • CLIA Code: 05D2328046
  • Facility Name: MUIR WOOD ADOLESCENT AND FAMILY SERVICES
  • Facility Address: 8441 N MILLBROOK AVE STE 102
    FRESNO, CA
    ZIP 93720
  • Facility Phone: 415 497-7722
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DAVID E. SMITH
  • NPI Number: 1598376816
  • Taxonomy: 323P00000X - Psychiatric Residential Treatment Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2328046
LAB Type Ancillary Testing Site in Health Care Center
Facility Name MUIR WOOD ADOLESCENT AND FAMILY SERVICES
Street 8441 N MILLBROOK AVE STE 102
City FRESNO
State CA
ZIP 93720
Phone 415 497-7722
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2025
Certificate Expiration Date 8/3/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DAVID E. SMITH

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