05D0952676 CLIA NUMBER - STEPHEN A HILTY MD

Laboratory Demographics

  • CLIA Code: 05D0952676
  • Facility Name: STEPHEN A HILTY MD
  • Facility Address: 148 CASA STREET
    SAN LUIS OBISPO, CA
    ZIP 93405
  • Facility Phone: 805 543-8310
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEPHEN A. HILTY MD
  • NPI Number: 1205839818
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0952676
LAB Type Physician Office
Facility Name STEPHEN A HILTY MD
Street 148 CASA STREET
City SAN LUIS OBISPO
State CA
ZIP 93405
Phone 805 543-8310
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 10/19/2024
Certificate Expiration Date 10/18/2026
Facility Type Physician Office
Lab Director STEPHEN A. HILTY MD

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