05D1001480 CLIA NUMBER - MEDICAL CLINIC AT MORRO

Laboratory Demographics

CLIA Number: 05D1001480

Facility Name: MEDICAL CLINIC AT MORRO

Facility Address:
685 MORRO AVE, STE C
MORRO BAY, CA
ZIP 93442
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Facility Phone Number: 805 772-7313

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1821487414

Taxonomy: 261QC1500X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	05D1001480
LAB Type	Community Clinic
Facility Name	MEDICAL CLINIC AT MORRO
Street	685 MORRO AVE, STE C
City	MORRO BAY
State	CA
ZIP	93442
Phone	805 772-7313
CertificateType	4
CertificateEffectiveDate	9/23/2023
CertificateExpirationDate	9/22/2025
FacilityType	Waiver

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