05D0944393 CLIA NUMBER - STEPHEN GEORGIOU MD

Laboratory Demographics

  • CLIA Code: 05D0944393
  • Facility Name: STEPHEN GEORGIOU MD
  • Facility Address: 502 WASHINGTON AVE
    LOS BANOS, CA
    ZIP 93635
  • Facility Phone: 209 826-4771
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEPHEN GEORGIAU
  • NPI Number: 1851465256
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 05D0944393
LAB Type Physician Office
Facility Name STEPHEN GEORGIOU MD
Street 502 WASHINGTON AVE
City LOS BANOS
State CA
ZIP 93635
Phone 209 826-4771
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 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Physician Office
Lab Director STEPHEN GEORGIAU

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