05D1086745 CLIA NUMBER - PERPETUAL HELP MEDICAL CENTER

Laboratory Demographics

CLIA Number: 05D1086745

Facility Name: PERPETUAL HELP MEDICAL CENTER

Facility Address:
930 SUNNYSLOPE RD STE C1
HOLLISTER, CA
ZIP 95023
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Facility Phone Number: 831 636-1507

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1184922510

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	05D1086745
LAB Type	Physician Office
Facility Name	PERPETUAL HELP MEDICAL CENTER
Street	930 SUNNYSLOPE RD STE C1
City	HOLLISTER
State	CA
ZIP	95023
Phone	831 636-1507
CertificateType	4
CertificateEffectiveDate	7/17/2022
CertificateExpirationDate	7/16/2024
FacilityType	Waiver

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