05D0586961 CLIA NUMBER - ARROYO GRANDE COMMUNITY HOSPITAL LABORATORY

Laboratory Demographics

  • CLIA Code: 05D0586961
  • Facility Name: ARROYO GRANDE COMMUNITY HOSPITAL LABORATORY
  • Facility Address: 345 S HALCYON RD
    ARROYO GRANDE, CA
    ZIP 93420
  • Facility Phone: 805 473-7631
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: KEVIN L. FERGUSON MD
  • NPI Number: 1861876807
  • Taxonomy: 261QP2000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0586961
LAB Type Hospital
Facility Name ARROYO GRANDE COMMUNITY HOSPITAL LABORATORY
Street 345 S HALCYON RD
City ARROYO GRANDE
State CA
ZIP 93420
Phone 805 473-7631
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 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Hospital
Lab Director KEVIN L. FERGUSON MD

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