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
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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

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