05D0587325 CLIA NUMBER - PISMO FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 05D0587325

Facility Name: PISMO FAMILY PRACTICE

Facility Address:
575 PRICE STREET SUITE 101
PISMO BEACH, CA
ZIP 93449
575 PRICE STREET SUITE 101
PISMO BEACH, CA
ZIP 93449
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Facility Phone Number: (805) 773-0707

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1497746473

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 05D0587325
LAB Type PHYSICIAN OFFICE
Facility Name PISMO FAMILY PRACTICE
Street 575 PRICE STREET SUITE 101
City PISMO BEACH
State CA
ZIP 93449
Phone (805) 773-0707
CLIA Number 05D0587325
LAB Type PHYSICIAN OFFICE
Facility Name PISMO FAMILY PRACTICE
Street 575 PRICE STREET SUITE 101
City PISMO BEACH
State CA
ZIP 93449
Phone (805) 773-0707

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This page was last updated on: 1/7/2022