CLIA lab
CLIA 05D0997419: Intisab Sultan MD
Selma, CA. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 05D0997419 belongs to Intisab Sultan MD in Selma, CA.
Certificate for Provider-Performed Microscopy Procedures, effective October 18, 2025, expires October 17, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- October 18, 2025
- Certificate expiration
- October 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 15, 2002
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 05D0997419
- Lab name
- Intisab Sultan MD
- Address
- 2256 Dockery Ave Ste A, Selma, CA 93662
- Phone
- (559) 891-0100
- Fax
- (559) 891-9000
Other labs in Selma, CA
- Adventist Health ReedleyCertificate of Waiver, Rural health clinic05D1045361
- Adventist Health ReedleyCertificate of Waiver, Rural health clinic05D1053670
- Adventist Medical Center, SelmaCertificate of Accreditation, Hospital05D0934945
- Anand Narayan MD IncCertificate of Waiver, Rural health clinic05D2311113
- Baz Allergy Asthma and Sinus CenterCertificate of Waiver, Physician office05D2201776
- DR Ochoa Family ClinicCertificate of Waiver, Physician office05D1061730
- Erick Madrigal, MD, Mba, IncCertificate of Waiver, Rural health clinic05D2342791
- Fox Drug Inc.Certificate of Waiver, Pharmacy05D2200485
- Heart of Ag Health & Wellness CenterCertificate of Waiver, Physician office05D2179975
- Permanente Medical Group IncCertificate for Provider-Performed Microscopy Procedures, Physician office05D1013327
Related
Questions
What is the CLIA number for Intisab Sultan MD in Selma?
05D0997419, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Intisab Sultan MD hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 05D0997419 expire?
The CMS file lists October 17, 2027 as the certificate expiration date; the certificate took effect October 18, 2025.