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Leo Nyholm
Clinical Medical Laboratory in Tehachapi, California
NPI 1164554713

Leo Nyholm is a Clinical Medical Laboratory based in Tehachapi, CA. Leo Nyholm practices in Tehachapi, CA. The NPI Number for Leo Nyholm is 1164554713 and holds a License No. CLF 11592 (California).

The current practice location address for Leo Nyholm is 20825 South St, Tehachapi, CA and can be reached out via phone at 661-822-1965 and via fax at 661-823-1971.

Location: 20825 South St, Tehachapi, CA, 93561-8649
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164554713
Provider Name
Leo Nyholm
Credential
Provider Entity Type
Organization
Address
20825 South St, Tehachapi, CA, 93561-8649
Phone Number
661-822-1965
Fax Number
661-823-1971
Provider Enumeration Date
03/09/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ17938Z 01 CA MEDICARE PTAN
05D0962446 01 CA CLIA NUMBER
CLF11592 01 CA LABORATORY LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
20825 South St
City
Tehachapi
State
California
Zip
93561-8649
Phone Number
661-822-1965
Fax Number
661-823-1971
person
Provider Business Mailing Address Details
Address
20825 South St
City
Tehachapi
State
California
Zip
93561-8649
Phone Number
661-822-1965
Fax Number
661-823-1971
person
Provider's Taxonomy Details 1
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
291U00000X
License No.
CLF 11592 (California)
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
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