05D0721228 CLIA NUMBER - ARROYO GRANDE CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0721228
  • Facility Name: ARROYO GRANDE CARE CENTER
  • Facility Address: 1212 FARROLL AVE
    ARROYO GRANDE, CA
    ZIP 93420
  • Facility Phone: 805 489-8137
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DR. SUSAN DOWNEY
  • NPI Number: 1396733887
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0721228
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name ARROYO GRANDE CARE CENTER
Street 1212 FARROLL AVE
City ARROYO GRANDE
State CA
ZIP 93420
Phone 805 489-8137
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DR. SUSAN DOWNEY

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