05D0858706 CLIA NUMBER - GUSTAVO A DASCANIO MD INC

Laboratory Demographics

  • CLIA Code: 05D0858706
  • Facility Name: GUSTAVO A DASCANIO MD INC
  • Facility Address: 2030 VIBORG ROAD
    SOLVANG, CA
    ZIP 93463
  • Facility Phone: 805 688-5488
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GUSTAVO A. DASCANIO MD
  • NPI Number: 1255366548
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0858706
LAB Type Physician Office
Facility Name GUSTAVO A DASCANIO MD INC
Street 2030 VIBORG ROAD
City SOLVANG
State CA
ZIP 93463
Phone 805 688-5488
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Physician Office
Lab Director GUSTAVO A. DASCANIO MD

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