05D0586839 CLIA NUMBER - VITALANT SAN LUIS OBISPO

Laboratory Demographics

  • CLIA Code: 05D0586839
  • Facility Name: VITALANT SAN LUIS OBISPO
  • Facility Address: 4119 BROAD STREET SUITE 100
    SAN LUIS OBISPO, CA
    ZIP 93401
  • Facility Phone: 805 543-4290
  • Facility Type: Blood Bank
  • Facility Type: Accreditation
  • Lab Director: DR. JONATHAN HUGHES

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CLIA Record

Field Name Field Value
CLIA Number 05D0586839
LAB Type Blood Bank
Facility Name VITALANT SAN LUIS OBISPO
Street 4119 BROAD STREET SUITE 100
City SAN LUIS OBISPO
State CA
ZIP 93401
Phone 805 543-4290
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 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Blood Bank
Lab Director DR. JONATHAN HUGHES

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This page was last updated on: 6/4/2025