05D0944904 CLIA NUMBER - PAUL PERCIVAL,MD

Laboratory Demographics

  • CLIA Code: 05D0944904
  • Facility Name: PAUL PERCIVAL,MD
  • Facility Address: 591 MCCRAY STREET #221
    HOLLISTER, CA
    ZIP 95023
  • Facility Phone: 831 638-9715
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PAUL J. PERCIVAL
  • NPI Number: 1972595692
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0944904
LAB Type Physician Office
Facility Name PAUL PERCIVAL,MD
Street 591 MCCRAY STREET #221
City HOLLISTER
State CA
ZIP 95023
Phone 831 638-9715
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 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Physician Office
Lab Director PAUL J. PERCIVAL

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This page was last updated on: 6/4/2025