05D1059579 CLIA NUMBER - NATIVIDAD MEDICAL GROUP, SANBORN

Laboratory Demographics

  • CLIA Code: 05D1059579
  • Facility Name: NATIVIDAD MEDICAL GROUP, SANBORN
  • Facility Address: 323 N SANBORN RD SUITE E
    SALINAS, CA
    ZIP 93905
  • Facility Phone: 831 751-6200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOSE M. PAUDA
  • NPI Number: 1871687301
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D1059579
LAB Type Physician Office
Facility Name NATIVIDAD MEDICAL GROUP, SANBORN
Street 323 N SANBORN RD SUITE E
City SALINAS
State CA
ZIP 93905
Phone 831 751-6200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Physician Office
Lab Director JOSE M. PAUDA

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