05D0939438 CLIA NUMBER - ARROYO MEDICAL GROUP

Laboratory Demographics

  • CLIA Code: 05D0939438
  • Facility Name: ARROYO MEDICAL GROUP
  • Facility Address: 931 OAK PARK BLVD, SUITE 101
    PISMO BEACH, CA
    ZIP 93449
  • Facility Phone: 805 474-2600
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DAVID RUIZ MD
  • NPI Number: 1720093487
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0939438
LAB Type Physician Office
Facility Name ARROYO MEDICAL GROUP
Street 931 OAK PARK BLVD, SUITE 101
City PISMO BEACH
State CA
ZIP 93449
Phone 805 474-2600
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/26/2024
Certificate Expiration Date 1/25/2026
Facility Type Physician Office
Lab Director DAVID RUIZ MD

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