05D0916406 CLIA NUMBER - HALCYON LASER & SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 05D0916406
  • Facility Name: HALCYON LASER & SURGERY CENTER
  • Facility Address: 303 SO HALCYON RD
    ARROYO GRANDE, CA
    ZIP 93420
  • Facility Phone: 805 489-8254
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MICHAEL B. LIMBERG
  • NPI Number: 1396700753
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0916406
LAB Type Ambulatory Surgery Center
Facility Name HALCYON LASER & SURGERY CENTER
Street 303 SO HALCYON RD
City ARROYO GRANDE
State CA
ZIP 93420
Phone 805 489-8254
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2024
Certificate Expiration Date 6/20/2026
Facility Type Ambulatory Surgery Center
Lab Director MICHAEL B. LIMBERG

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