05D0980614 CLIA NUMBER - SAN LUIS TRANSITIONAL CARE

Laboratory Demographics

  • CLIA Code: 05D0980614
  • Facility Name: SAN LUIS TRANSITIONAL CARE
  • Facility Address: 1575 BISHOP ST
    SAN LUIS OBISPO, CA
    ZIP 93401
  • Facility Phone: 805 543-0210
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: STEPHEN GROSSMAN
  • NPI Number: 1417945841
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D0980614
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SAN LUIS TRANSITIONAL CARE
Street 1575 BISHOP ST
City SAN LUIS OBISPO
State CA
ZIP 93401
Phone 805 543-0210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/28/2024
Certificate Expiration Date 11/27/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director STEPHEN GROSSMAN

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