05D0985656 CLIA NUMBER - LOMPOC VALLEY PEDIATRIC CARE CENTER

Laboratory Demographics

  • CLIA Code: 05D0985656
  • Facility Name: LOMPOC VALLEY PEDIATRIC CARE CENTER
  • Facility Address: 1111 E OCEAN STE 6
    LOMPOC, CA
    ZIP 93436
  • Facility Phone: 805 736-4970
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CINDY BLIFELD MD
  • NPI Number: 1487719894
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 05D0985656
LAB Type Physician Office
Facility Name LOMPOC VALLEY PEDIATRIC CARE CENTER
Street 1111 E OCEAN STE 6
City LOMPOC
State CA
ZIP 93436
Phone 805 736-4970
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 4/25/2025
Certificate Expiration Date 4/24/2027
Facility Type Physician Office
Lab Director CINDY BLIFELD MD

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