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11465 - August 19, 2024 -

Date

August 19, 2024

Repair Order

11465

Facility

Facility Name

Community Regional Medical Center

Contact Name

steven macias

Billing Name

Community Medical Centers

Email Address

smacias5@communitymedical.org

Phone Number

Shipping Address

2130 E ILLINOIS AVE

fresno, CA 93701

United States

Billing Address

PO BOX 1232

United States

Equipment

PO #

Manufacturer

bard

Model #

InfusOR

Serial #

D021427

Asset Tag #

AND-TC593

Reported Failure

broken syringe latch

Anything Else