05D0062197 CLIA NUMBER - MEMORIAL HOSPITAL LOS BANOS LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0062197
  • Facility Name: MEMORIAL HOSPITAL LOS BANOS LABORATORY
  • Facility Address: 520 W I ST
    LOS BANOS, CA
    ZIP 93635
  • Facility Phone: 209 710-6302
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: SCOTT SILVEIRA
  • NPI Number: 1033352125
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 05D0062197
LAB Type Hospital
Facility Name MEMORIAL HOSPITAL LOS BANOS LABORATORY
Street 520 W I ST
City LOS BANOS
State CA
ZIP 93635
Phone 209 710-6302
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Hospital
Lab Director SCOTT SILVEIRA

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