05D0966368 CLIA NUMBER - BRADLEY S KURGIS DO INC

Laboratory Demographics

  • CLIA Code: 05D0966368
  • Facility Name: BRADLEY S KURGIS DO INC
  • Facility Address: 1320 LAS TABLAS RD, STE B
    TEMPLETON, CA
    ZIP 93465
  • Facility Phone: 805 434-5563
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. BRADLEY S. KURGIS MD
  • NPI Number: 1770529620
  • Taxonomy: 207ND0101X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 05D0966368
LAB Type Physician Office
Facility Name BRADLEY S KURGIS DO INC
Street 1320 LAS TABLAS RD, STE B
City TEMPLETON
State CA
ZIP 93465
Phone 805 434-5563
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Physician Office
Lab Director DR. BRADLEY S. KURGIS MD

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