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05D0996840 CLIA NUMBER - SAN LUIS INTERNAL MEDICINE ASSOCIATES

Laboratory Demographics

CLIA Number: 05D0996840

Facility Name: SAN LUIS INTERNAL MEDICINE ASSOCIATES

Facility Address:
805 AEROVISTA PLACE #106
SAN LUIS OBISPO, CA
ZIP 93401
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Facility Phone Number: 805 594-1240

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1861475154

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 05D0996840
LAB Type Physician Office
Facility Name SAN LUIS INTERNAL MEDICINE ASSOCIATES
Street 805 AEROVISTA PLACE #106
City SAN LUIS OBISPO
State CA
ZIP 93401
Phone 805 594-1240
CertificateType 4
CertificateEffectiveDate 2/25/2023
CertificateExpirationDate 2/24/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024