05D0587284 CLIA NUMBER - LAS TABLAS MEDICAL GROUP, INC

Laboratory Demographics

CLIA Number: 05D0587284

Facility Name: LAS TABLAS MEDICAL GROUP, INC

Facility Address:
2120 GOLDEN HILL RD STE 102
PASO ROBLES, CA
ZIP 93446
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Facility Phone Number: (805) 434-2900

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1205994977

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D0587284
LAB Type	PHYSICIAN OFFICE
Facility Name	LAS TABLAS MEDICAL GROUP, INC
Street	2120 GOLDEN HILL RD STE 102
City	PASO ROBLES
State	CA
ZIP	93446
Phone	(805) 434-2900

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This page was last updated on: 5/11/2023